{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:23:07Z","timestamp":1765610587914,"version":"build-2065373602"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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.<\/jats:p>","DOI":"10.1093\/omcr\/omaf213","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T12:11:44Z","timestamp":1757679104000},"source":"Crossref","is-referenced-by-count":1,"title":["Rectus sheath hematoma in an elderly male with anticoagulation therapy\u2014a diagnostic challenge"],"prefix":"10.1093","volume":"2025","author":[{"given":"Islam","family":"Rajab","sequence":"first","affiliation":[{"name":"St Joseph university medical center , Paterson, NJ ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahim","family":"Sabah","sequence":"additional","affiliation":[{"name":"St Joseph university medical center , Paterson, NJ ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0704-952X","authenticated-orcid":false,"given":"Sakeena","family":"Saife","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University , Nablus ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2508-2035","authenticated-orcid":false,"given":"Maram M","family":"Abukhalil","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University , Nablus ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yezin","family":"Shamoon","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St Joseph's Regional Medical Center ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fayez","family":"Shamoon","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St Joseph's Regional Medical Center ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry","family":"Alocha","sequence":"additional","affiliation":[{"name":"St Joseph university medical center , Paterson, NJ ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"2025102907352838500_ref1","volume-title":"StatPearls","author":"Allen","year":"2025"},{"key":"2025102907352838500_ref2","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1177\/1076029614553024","article-title":"Evaluation of risk factors for rectus sheath hematoma","volume":"22","author":"Sheth","year":"2016","journal-title":"Clin Appl Thromb Hemost"},{"key":"2025102907352838500_ref3","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1016\/j.ijsu.2009.01.007","article-title":"The changing nature of rectus sheath haematoma: case series and literature review","volume":"7","author":"Fitzgerald","year":"2009","journal-title":"Int J Surg"},{"key":"2025102907352838500_ref4","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/j.ijsu.2014.12.015","article-title":"Rectus sheath hematoma: a review of the literature","volume":"13","author":"Hatjipetrou","year":"2015","journal-title":"Int J Surg"},{"key":"2025102907352838500_ref5","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1097\/01.md.0000216818.13067.5a","article-title":"Rectus sheath hematoma: review of 126 cases at a single institution","volume":"85","author":"Cherry","year":"2006","journal-title":"Medicine (Baltimore)"},{"key":"2025102907352838500_ref6","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1016\/j.radcr.2018.10.019","article-title":"Paucisymptomatic pulmonary and right ear tuberculosis in young woman suffering from anorexia and bulimia nervosa","volume":"14","author":"Garaci","year":"2019","journal-title":"Radiol Case Rep"},{"key":"2025102907352838500_ref7","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.26275","article-title":"Severe retroperitoneal Hemorrhage in a COVID-19 patient on a therapeutic dose of low molecular weight heparin: a case report","volume":"14","author":"Dubovsk\u00fd","year":"2022","journal-title":"Cureus."},{"key":"2025102907352838500_ref8","volume-title":"Bladder perforation secondary to rectus sheath hematoma after enoxaparin injection - PubMed"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/10\/omaf213\/65023041\/omaf213.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/10\/omaf213\/65023041\/omaf213.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T11:37:46Z","timestamp":1761737866000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omaf213\/8305652"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10,21]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omaf213","relation":{},"ISSN":["2053-8855"],"issn-type":[{"value":"2053-8855","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,10]]},"published":{"date-parts":[[2025,10]]},"article-number":"omaf213"}}