CAN COMPUTED TOMOGRAPHY PREDICT WHETHER SPONTANEOUS RECTUS SHEATH HEMATOMAS ARE CAUSED BY COAGULOPATHY?
| Autor: | Şükrü Şahin, Mehmet Ali Gedik |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Computed tomography Rectus sheath Hematoma Rectus Sheath Computed Tomography Anticoagulant Fatty Stranding medicine.disease body regions surgical procedures operative medicine.anatomical_structure Health Care Sciences and Services health services administration cardiovascular system medicine Coagulopathy cardiovascular diseases Radiology Sağlık Bilimleri ve Hizmetleri business |
| Zdroj: | Volume: 16, Issue: 2 84-89 Medical Sciences |
| ISSN: | 1308-7231 1308-7312 |
| DOI: | 10.12739/nwsa.2021.16.2.1b0111 |
| Popis: | Spontaneous rectus sheath hematomas may occur spontaneously due to anticoagulant use and cough. Rectus sheath hematoma frequency increased with more use of anticoagulants. This study was aimed to evaluate the success of CT, which has a high sensitivity in detecting rectus sheath hematomas, in predicting whether spontaneous rectus sheath hematomas are caused by coagulopathy or not. Cases with rectus sheath hematoma in the radiology archive of our hospital were included in the study. Cases with a history of trauma, surgery, or abdominal injection were excluded from the study. Twenty-four cases evaluated as spontaneous rectus sheath hematoma were divided into two groups according to the international normalized ratio (INR) result as anticoagulant-related rectus sheath hematoma (14 cases) and non-anticoagulant-related rectus sheath hematoma (10 cases). Fluid cellular level in the hematoma (1), heterogeneity (2), localization at the infra-umbilical level (3) and stranding of subcutaneous fat tissue in the abdominal wall (4), were evaluated as anticoagulant-related rectus sheath hematoma CT findings. Hematoma at the supra-umbilical or umbilical level was considered as hematoma unrelated to anticoagulant use. Diagnostic accuracies were confirmed by laboratory results. Categorical data were compared with chi-square and numerical data using Mann–Whitney U test. While 17 (70.8 %) of the cases were female, only 7 (29.2%) were male. While rectus hematomas are mostly seen in isolation at the umbilical or supraumbilical level of the rectus muscle in the group with no anticoagulant use, it is mostly seen at the infra-umbilical level in the group with anticoagulant use (p = 0.001). Stranding in subcutaneous fatty tissue accompanying rectus hematoma is mostly seen in the group with anticoagulant use (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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