Evidence map›Paper›PMID 41630033›Full record

ArticleJournal of cardiothoracic surgery2026

Bilateral rectus sheath hematoma following enoxaparin administration in a patient with extensive lower limb DVT: a rare complication.

Rounak Mehrotra, Amritanshu Saurabh, Shirish Kumar, Pranabh Kushwaha

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Rounak MehrotraDepartment of General Surgery, All India Institute of Medical Sciences, Raebareli, India.ORCID http://orcid.org/0009-0009-6585-4158
Amritanshu SaurabhDepartment of General Surgery, All India Institute of Medical Sciences, Raebareli, India.ORCID http://orcid.org/0000-0003-4605-3944
Shirish KumarDepartment of General Surgery, All India Institute of Medical Sciences, Raebareli, India.ORCID http://orcid.org/0000-0002-8413-7834
Pranabh KushwahaDepartment of General Surgery, All India Institute of Medical Sciences, Raebareli, India. gensur_pranabh@aiimsrbl.edu.in.ORCID http://orcid.org/0000-0002-7229-1877

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rectus sheath hematoma (RSH) is an uncommon but potentially life-threatening complication of anticoagulant therapy. Bilateral RSH is exceedingly rare. We present a case of a middle aged woman in 40s who presented with acute onset left lower limb swelling with blisters and bluish discoloration due to extensive left lower limb deep vein thrombosis. The patient subsequently underwent emergency fasciotomy followed by above-knee amputation for ischemic limb and started on therapeutic administration of enoxaparin. During the postoperative course, the patient developed a progressive infraumbilical abdominal wall swelling at the site of subcutaneous injections, later confirmed to be bilateral rectus sheath hematomas (RSH). This report highlights the importance of recognizing this rare complication in anticoagulated patients presenting with abdominal wall masses and anaemia.

Indexed as

AnticoagulantsEnoxaparinHematomaRectus AbdominisVenous ThrombosisAdultFemaleHumansLower ExtremityAnticoagulantsEnoxaparinAbdominal wall hematomaAnticoagulation complicationDeep vein thrombosisEnoxaparinLow molecular weight heparinRectus sheath hematoma

Identifiers

PMID41630033
PMCPMC12952028

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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.