Evidence map›Paper›PMID 41169293›Full record

ArticleOxford medical case reports2025

Rectus sheath hematoma in an elderly male with anticoagulation therapy-a diagnostic challenge.

Islam Rajab, Ibrahim Sabah, Sakeena Saife, Maram M Abukhalil, Yezin Shamoon, Fayez Shamoon, Henry Alocha

Abstract readCase Reports
In one paragraph

Article in Oxford medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Islam RajabSt Joseph university medical center, Paterson, NJ, United States.
Ibrahim SabahSt Joseph university medical center, Paterson, NJ, United States.
Sakeena SaifeDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.ORCID https://orcid.org/0009-0006-0704-952X
Maram M AbukhalilDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.ORCID https://orcid.org/0009-0005-2508-2035
Yezin ShamoonDepartment of Cardiology, St Joseph's Regional Medical Center, United States.
Fayez ShamoonDepartment of Cardiology, St Joseph's Regional Medical Center, United States.
Henry AlochaSt Joseph university medical center, Paterson, NJ, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rectus sheath hematoma (RSH) is a rare but potentially life-threatening condition, often underdiagnosed due to its non-specific presentation. We report a case of a 71-year-old male admitted for pneumonia, who developed hypotension, urinary retention, and a palpable pelvic mass after receiving low molecular weight heparin (LMWH) for new-onset atrial fibrillation. Ultrasound suggested a pelvic abnormality, and computed tomography angiography (CTA) confirmed a large rectus sheath hematoma with active venous bleeding. The patient underwent successful embolization of the right inferior epigastric artery, resulting in hemodynamic stabilization. This case highlights the importance of maintaining high clinical suspicion for RSH in anticoagulated patients and emphasizes the need for early imaging and multidisciplinary management to prevent complications.

Indexed as

anticoagulantsembolizationhypotensionpelvisrectus sheath hematomatherapeutic

Identifiers

PMID41169293
PMCPMC12570027

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.