Rectus Sheath Hematoma Follow-up

Updated: Nov 02, 2014
  • Author: Wan-Tsu Wendy Chang, MD; Chief Editor: Steven C Dronen, MD, FAAEM  more...
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Follow-up

Further Outpatient Care

Patients should be educated regarding the expected duration of symptoms related to the type of rectus sheath hematoma (RSH) present. This will provide reasonable expectations related to need for pain control and work limitations. Patients can follow up with their primary care physicians or surgeons for pain control as the hematoma resolves.

For patient education resources, see Digestive Disorders Center and Skin Conditions and Beauty Center, as well as Abdominal Pain in Adults and Bruises.

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Transfer

Transfer of patients with rectus sheath hematoma is rare but may be appropriate in smaller hospitals without intensive care capabilities when treating patients that are hemodynamically unstable. The transferring physician should contact an accepting surgeon while continuing aggressive resuscitation. Patients with types I and II rectus sheath hematomas typically should not require transfer.

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