Rectus sheath hematoma - Wikipedia | rectus sheath hematoma icd 10[/caption]
rectus sheath hematoma icd 10
Hamid NS; Spadafora PF; Khalife ME; Cunha BA
There are abounding noninfectious disorders in the analytical affliction assemblage (CCU) that actor sepsis. Pseudosepsis is the appellation activated to noninfectious disorders that actor sepsis. Fever/leukocytosis is not analytic of infection but frequently accompanies a advanced array of noninfectious disorders. Back fever/leukocytosis and hypotension are present, sepsis is the presumptive analysis until accurate otherwise. After empiric analysis for sepsis is initiated, the analyst should aphorism out the noninfectious causes of pseudosepsis. The best accepted causes of pseudosepsis in the CCU ambience are pulmonary embolism, myocardial infarction, gastrointestinal hemorrhage, agitable diuretic therapy, astute pancreatitis, about adrenal insufficiency, and (rarely) rectus sheath hematoma. Rectus sheath hematoma may action accessory to trauma/anticoagulation analysis and may present as an astute surgical belly artful sepsis. Rectus sheath hematoma should be advised back added causes of pseudosepsis or sepsis abort to explain assiduous hypotension above to fluids/pressors. The analysis of rectus sheath hematoma is by belly ultrasound or computed tomography scan. If the belly computed tomography browse is abrogating for added intra-abdominal anatomy and added causes of pseudosepsis are eliminated, again the analysis of pseudosepsis acquired by rectus sheath hematoma is accepted by demonstrating a hematoma in the rectus sheath. Treatment of rectus sheath hematoma is surgical arising and articulation of any bleeding vessels. Evacuation of the rectus sheath hematoma rapidly reverses the patient's hypotension and is curative. We call a case of pseudosepsis acquired by rectus sheath hematoma in an aged man with hypotension above to fluids/pressors and artful catchbasin shock. Clinicians should be acquainted that rectus sheath hematoma is a attenuate but important account of pseudosepsis in patients in the CCU.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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