Axial non-contrast CT abdomen and pelvis at the level of acetabulum. Rectus sheath haematoma (chevron) that appears to have dissected through the rectus sheath into the extraperitoneal pelvic space (arrows).

Axial non-contrast CT abdomen and pelvis at the level of acetabulum. Rectus sheath haematoma (chevron) that appears to have dissected through the rectus sheath into the extraperitoneal pelvic space (arrows).

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Bleeding from enoxaparin is a recognized side effect; however, the formation of rectus sheath and retroperitoneal haematomas is a rare and potentially life-threatening complication. Patients may present insidiously and without symptoms; therefore, high clinical suspicion of a bleeding intra-abdominal haematoma should be suspected in patients with a...

Context in source publication

Context 1
... internal haemorrhage, contrast-enhanced computed tomography (CECT) of the abdomen and pelvis was arranged. The CT images showed the presence of multiple haematomas with evidence of active bleeding (Figs 1 and 2). ...