Özet:

Purpose: Due to the 17 facts we have diagnosed rectus clay hematoma (RKH), we have examined the ethology, clinical signs and findings of the RKH and the current diagnosis methods. Method: Patients diagnosed with RKH in our Breast Disease Clinic between December 2012 and December 2016 were retrospective observational examinations. The demographic characteristics, resume and proximity of the events, the findings and methods of treatment in the diagnosing physical examination, laboratory and imaging methods were investigated. Results: 12 (70.5) women and 5 (29.5) men were diagnosed with RKH between December 2012 and December 2016. The average age of all cases was 72.9 ± 12.4, while female patients were 75.5 ± 9.8 years old, and male patients were 66.6 ± 16.8 years old. There were two cases of blood in the urine and one of the cases of blood in the stomach and one of the cases of blood in the stomach. Thirteen cases of anticoagulant therapy (11 enoxaparin sodium, 4 varfarin sodium, 1 rivaroksaban) were taken, while one of them had not received any anticoagulant or antiagregant therapy. The diagnosis of RKH was confirmed by ultrasound in 13 cases and by computer tomography in 3 other cases. The anticoagulant treatment was interrupted in all cases as a treatment, full blood and parasetamol were given. 11 patients were responded to conservative therapy, while 6 events were lost by developing hypotensive shock. The result: in patients with subcutaneous low molecular weight heparin (DMAH) treatment and with a suddenly developing mass in the West, acute western distinctive diagnosis, RKH should be understood. RKH is more common in women and patients using anticoagulants.

Anahtar Kelimeler: