PMC7275952_01
CT performed on day 8 showing right-sided rectus sheath and pelvic hematomas. The inferior epigastric artery was measured approximately 25.9 mm below the skin. A standard enoxaparin injection needle at our facility has a length of 15.9 mm. Photo of the needle was adapted from https://tinylittlehuman.wordpress.com/2012/11/02/lovenox/.
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fig1
Repeat CT imaging revealed a right-sided rectus sheath, and pelvic hematoma presumed to be of inferior epigastric artery origin (Figure 1).
CT performed on day 9 showing development of a massive left-sided retroperitoneal hematoma.
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fig2
Over the next 24 hours, the patient remained hemodynamically unstable despite dual pressor support requiring repeat imaging, which revealed a new left retroperitoneal hematoma (Figure 2).