Rectus sheath haematoma: A rare presentation of non-contact strenuous exercises

Department of Surgery, Whiston Hospital, Prescot, Merseyside, UK.
British Journal of Sports Medicine (Impact Factor: 5.03). 11/2007; 41(10):688-90. DOI: 10.1136/bjsm.2007.036087
Source: PubMed


Rectus sheath haematoma (RSH) is a well-documented but uncommon clinical condition. It is usually a self-limiting condition but can present as a life-threatening emergency. RSH after non-contact vigorous exercise is unknown. Two such cases secondary to yoga and laughter therapy sessions, respectively, are reported. One of them required surgical intervention, whereas the other was successfully treated conservatively.

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    • "Of the included 37 reports, 19 originated from the USA [28], [31]–[33], [35], [38]–[40], [43]–[47], [49], [52], [55]–[57], [61], 1 from Canada [60], 2 from the UK [51], [59], 1 from Germany [42], 1 from Switzerland [25], 2 from Italy [26], [34], 1 from Denmark [36], 5 from India [29], [41], [48], [53], [54], and 1 each from Nepal [27], China [37], Taiwan [58], South Korea [30], and Australia [50]. The first included report was published in 1969, the number of reports published each year gradually increased until 2012 (Figure 2). "
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    ABSTRACT: While yoga is gaining increased popularity in North America and Europe, its safety has been questioned in the lay press. The aim of this systematic review was to assess published case reports and case series on adverse events associated with yoga. Medline/Pubmed, Scopus, CAMBase, IndMed and the Cases Database were screened through February 2013; and 35 case reports and 2 case series reporting a total of 76 cases were included. Ten cases had medical preconditions, mainly glaucoma and osteopenia. Pranayama, hatha yoga, and Bikram yoga were the most common yoga practices; headstand, shoulder stand, lotus position, and forceful breathing were the most common yoga postures and breathing techniques cited. Twenty-seven adverse events (35.5%) affected the musculoskeletal system; 14 (18.4%) the nervous system; and 9 (11.8%) the eyes. Fifteen cases (19.7%) reached full recovery; 9 cases (11.3%) partial recovery; 1 case (1.3%) no recovery; and 1 case (1.3%) died. As any other physical or mental practice, yoga should be practiced carefully under the guidance of a qualified instructor. Beginners should avoid extreme practices such as headstand, lotus position and forceful breathing. Individuals with medical preconditions should work with their physician and yoga teacher to appropriately adapt postures; patients with glaucoma should avoid inversions and patients with compromised bone should avoid forceful yoga practices.
    PLoS ONE 10/2013; 8(10):e75515. DOI:10.1371/journal.pone.0075515 · 3.23 Impact Factor
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    • "A literature search on " Laughter Yoga " (and variants; ISI Web of Knowledge, PubMed June 1st, 2011) yielded two hits: Shahidi et al. and Sharma et al. (2007), who report two case studies on a rare medical condition involving abdominal pathology. The elderly patients attended yoga or laughter therapy sessions and developed symptoms later on. "

    International Journal of Geriatric Psychiatry 08/2012; 27(8):873-4; author reply 875-6. DOI:10.1002/gps.2793 · 2.87 Impact Factor
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    ABSTRACT: Spontaneous rectus sheath hematoma is an uncommon condition which usually presents as acute abdomen, mimicking other abdominal disorders. Management must be initially conservative, but surgery is indicated in progressive hematomas. We present a case report of rectus sheath hematoma conservatively managed.
    Acta chirurgica Belgica 06/2008; 108(3):339-40. · 0.41 Impact Factor
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