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ARTICLE TYPE : CASE REPORT

Published on :   19 Feb 2026, Volume - 2
Journal Title :   WebLog Journal of Hematology | WebLog J Hematol
Source URL:   weblog iconhttps://weblogoa.com/articles/wjh.2026.b1904
Permanent Identifier (DOI) :  doi iconhttps://doi.org/10.5281/zenodo.18820499

Giant Spontaneous Inferior Epigastric Artery Rectus Sheath Hematoma

Zaparackaite I 1
Govani DR 2
Singh SJ 3
Swamy KB 4
Midha PK 5
Patel RV 2 *
1Department of Pediatric Surgery, Emergency’s Children’s Surgery Hospital, Entebbe/ Evelina Children’s Hospital, London, UK
2Department of Pediatric Surgery, PGICHR and KTCGUH, Rajkot, Gujarat, India
3Department of Pediatric Surgery, Nottingham University Hospitals, Nottingham, UK
4Lincoln University College, Lincoln University, Kuala Lumpur, Malaysia
5J. Watumull Global Hospital & Research Centre, Delwara Road, Mount Abu, Rajasthan, India

Abstract

A spontaneous inferior epigastric artery rectus sheath hematoma is a rare condition where bleeding occurs within the sheath of the rectus abdominis muscle, often due to damage to the inferior epigastric artery or its branches. We present an adult case of giant spontaneous left inferior epigastric artery rectus sheath hematoma with dramatic life-threatening acute abdominal emergency which was managed successfully by conservative management.

Keywords: Acute Abdomen; Abdominal Wall Hematoma; Clopidogrel; Hemorrhagic Shock; Inferior Epigastric Artery; Rectus Sheath Hematoma; Spontaneous

Citation

Zaparackaite I, Govani DR, Singh SJ, Swamy KB, Midha PK, Patel RV. Giant Spontaneous Inferior Epigastric Artery Rectus Sheath Hematoma. WebLog J Hematol. wjh.2026.b1904. https://doi.org/10.5281/zenodo.18820499