Bilateral Obstructive Uropathy Due to Spontaneously a Large Rectus Sheath Hematoma in a Patient on Anticoagulant Treatment

Rectus sheath haematomas associated with anticoagulation are often self-limiting. When large, however, they can even extend into the pelvis and cause compression of adjacent organs. A 54-year-old female on treatment Coumadin; during her hospitalisation, she developed a spontaneous rectus abdominis haematoma and occurred bilateral obstructive uropathy. A large rectus sheath haematoma that extends into the bladder causing renal obstruction can be treated by minimale invasive surgery.