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AJP Rep 2016; 06(03): e325-e328
DOI: 10.1055/s-0036-1593353
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Spontaneous Rectus Sheath Hematoma in Pregnancy Complicated by the Development of Transfusion Related Acute Lung Injury: A Case Report and Review of the Literature

Jennifer Gibbs
1   Department of Obstetrics and Gynecology, Good Samaritan Hospital Medical Center, West Islip, New York
,
Firas Bridges
2   Department of General Surgery and Bariatric Surgery, Good Samaritan Hospital Medical Center, West Islip, New York
,
Kiran Trivedi
1   Department of Obstetrics and Gynecology, Good Samaritan Hospital Medical Center, West Islip, New York
,
John Vullo
1   Department of Obstetrics and Gynecology, Good Samaritan Hospital Medical Center, West Islip, New York
› Author Affiliations
Further Information

Publication History

20 July 2016

13 August 2016

Publication Date:
15 September 2016 (online)

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Abstract

Background Rectus sheath hematoma (RSH) represents a rare, but serious cause of abdominal pain.

Case Here we discuss the case of a healthy multigravida female who presented at 28 weeks gestation with spontaneous RSH. Conservative management with multiple blood transfusions led to the development of transfusion related acute lung injury (TRALI) and intensive care unit admission. She was managed with noninvasive ventilatory support, gradually improved, and was weaned of ventilation. After hospital discharge, she progressed to full term and delivered a viable male infant vaginally at 37 weeks gestation.

Conclusion Review of the literature demonstrates 13 cases of RSH in pregnancy, including our own. No other cases were complicated by transfusion related morbidity. RSH and TRALI are rare, but life threatening entities that can complicate pregnancy.

Keywords

pregnancy - rectus sheath hematoma - respiratory failure - transfusion
 

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