BMJ Case Reports 2018; doi:10.1136/bcr-2018-225671
  • Unusual presentation of more common disease/injury

Rectus sheath haematoma causing ureteric obstruction

  1. Helen O’Connell1
  1. 1Dept of Urology, Footscray Hospital, Footscray, Victoria, Australia
  2. 2Dept of Urology, Austin Hospital, Heidelberg, Victoria, Australia
  1. Correspondence to Dr Ned Kinnear, ned.kinnear{at}
  • Accepted 22 June 2018
  • Published 10 July 2018


Rectus sheath haematoma is an uncommon condition. However, its incidence is increasing, attributed to greater use of anticoagulant therapy. We present the case of an 83-year-old woman on therapeutic enoxaparin for a prior pulmonary embolus who underwent elective right hemicolectomy and developed a rectus sheath haematoma 13 days postoperatively. Her extensive haematoma compressed retroperitoneal structures including the right ureter. She was successfully managed conservatively.


  • Contributors VH and HO’C conceived the study concept. VH wrote the initial manuscript. NK was responsible for manuscript figures. VH, NK, DC and HO’C revised and reviewed the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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