Successful Treatment for Life Threatening Recurrent Non-traumatic Rectus Sheath Hematoma in a Case with Microscopic Polyangiitis with Rapidly Progressive Glomerulonephritis

被引：0

作者：

Nakanoh, Hiroyuki

Takeuchi, Hidemi ^{[1
]}

Morimoto, Shiho

Terajima, Yuya

Okamoto, Shugo

Onishi, Yasuhiro

Tanaka, Keiko

Katsuyama, Takayuki

Tsuji, Kenji

Matsumoto, Yoshinori

Tanabe, Katsuyuki

Morinaga, Hiroshi

Uka, Mayu

Tomita, Koji

Uchida, Haruhito A.

Hiraki, Takao

Wada, Jun

机构：

[1] Okayama Univ, Fac Med Dent & Pharmaceut Sci, Dept Nephrol Rheumatol Endocrinol & Metab, Okayama, Japan

来源：

INTERNAL MEDICINE | 2024年 / 63卷 / 23期

关键词：

rectus sheath hematoma; microscopic polyangiitis; hemodialysis; PATIENT;

D O I：

10.2169/internalmedicine.3239-23

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 68-year-old woman was admitted to our hospital because of a rapid progression of renal dysfunction with positive myeloperoxidase antineutrophil cytoplasmic antibody and was diagnosed with rapidly progressive glomerulonephritis associated with microscopic polyangiitis (MPA). Severe right rectus sheath hematoma (RSH) bleeding from the inferior epigastric artery developed after starting hemodialysis, which required 4 transarterial embolizations due to recurrent bleeding. After additional treatment with methylprednisolone pulse therapy and rituximab, no rebleeding occurred. Although the giant hematoma reached the pelvis, it shrank spontaneously without any intervention. Nontraumatic RSH should therefore be considered when treating patients with multiple risk factors.

引用

页码：3243 / 3248

页数：6

共 18 条

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