case_images: PMC7275952_01
case_images: 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/.
case_images: CRIHEM2020-4805967.001.jpg
case_images: PMC7275952_01_CRIHEM2020-4805967.001.jpg
case_images: fig1
case_images: Repeat CT imaging revealed a right-sided rectus sheath, and pelvic hematoma presumed to be of inferior epigastric artery origin (Figure 1).
case_images: CT performed on day 9 showing development of a massive left-sided retroperitoneal hematoma.
case_images: CRIHEM2020-4805967.002.jpg
case_images: PMC7275952_01_CRIHEM2020-4805967.002.jpg
case_images: fig2
case_images: 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).