<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1692-7273</journal-id>
<journal-title><![CDATA[Revista Ciencias de la Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cienc. Salud]]></abbrev-journal-title>
<issn>1692-7273</issn>
<publisher>
<publisher-name><![CDATA[Editorial Universidad del Rosario]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1692-72732024000300010</article-id>
<article-id pub-id-type="doi">10.12804/revistas.urosario.edu.co/revsalud/a.12780</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hematoma espontáneo de pared abdominal asociado al uso de anticoagulantes orales de acción directa: presentación de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Spontaneous Abdominal Wall Hematoma Associated with the Use of Direct-Acting Oral Anticoagulants: a Case Report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Hematoma espontâneo da parede abdominal associado ao uso de anticoagulantes orais de ação direta: relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amado-Garzón]]></surname>
<given-names><![CDATA[Sandra B.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Talero]]></surname>
<given-names><![CDATA[Paula Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serrano Macías]]></surname>
<given-names><![CDATA[María Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Javeriana Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Pontificia Universidad Javeriana Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>22</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1692-72732024000300010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1692-72732024000300010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1692-72732024000300010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  El hematoma espontáneo de la pared abdominal (HEPA) es un evento infrecuente y potencialmente fatal. La literatura describe la anticoagulación como el principal factor de riesgo, en especial con el uso de warfarina. Son pocos los casos reportados con el uso de anticoagulantes orales de acción directa (ACOD), y la mayoría indican la existencia de otro factor precipitante asociado. Se presenta un caso de HEPA asociado al uso de ACOD en quien no se identificó otro factor precipitante diferente a la anticoagulación.  Presentación del caso:  Mujer de 74 años, quien consultó a un hospital de cuarto nivel en Bogotá (Colombia) por dolor abdominal y masa palpable de inicio súbito sin trauma. Tenía antecedente de enfermedad tromboembólica venosa recurrente y uso de rivaroxabán. En el examen físico se palpaba una masa dolorosa en el flanco izquierdo, sin irritación peritoneal. La angiotomografía de vasos abdominales mostró un hematoma del músculo recto abdominal izquierdo con sangrado activo de la arteria epigástrica inferior. Se realizó una embolización arterial selectiva con adecuado control del sangrado, lo que permitió el reinicio temprano de la anticoagulación.  Discusión:  El HEPA es una entidad poco frecuente y potencialmente fatal. Se reporta la anticoagulación como el principal factor asociado, aunque es un evento infrecuente con ACOD. La mayoría describen también factores desencadenantes como accesos de tos, pujo y vómito y requerirá un manejo expectante; sin embargo, se debe considerar el manejo endovascular temprano para mejores desenlaces.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Spontaneous rectus sheath hematoma (SRSH) is a rare and potentially fatal event; the literature describes anticoagulation as the main risk factor, especially with the use of warfarin. Few cases have been reported with the use of direct oral anticoagulants (DOAC) and most of them report another associated precipitating factor. We present a case of SRSH associated with the use of DOACS in which no other precipitating factor other than anticoagulation was identified.  Case presentation:  A 74-year-old woman who consulted at an IV level hospital in Bogotá due to abdominal pain and a palpable mass of sudden onset not associated with trauma. She had a history of recurrent venous thromboembolic disease for which she had been anticoagulated with rivaroxaban. Physical examination revealed a painful mass on the left flank, without peritoneal irritation. Angio tomography of abdominal vessels was performed, which showed a hematoma of the left rectus abdominis muscle with active bleeding from the inferior epigastric artery. No other related factors other than anticoagulation were found as a possible etiology. Selective arterial embolization was performed with adequate bleeding control, which allowed early resumption of anticoagulation.  Discussion:  SRSH is a potentially fatal entity, anticoagulation is reported as the main associated factor, although it is an infrequent event with DOACS. Most of them also describe triggering factors such as coughing, straining, and vomiting and will require expectant management, however, early endovascular management should be considered for better outcomes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O hematoma espontâneo da parede abdominal (Hepa) é um evento pouco frequente e potencialmente fatal; a literatura descreve a anticoagulação como o principal fator de risco, especialmente com o uso de varfarina. Poucos casos foram relatados com o uso de anticoagulantes orais diretos (DOAC, do inglês direct oral anticoagulants) e a maioria relata outro fator precipitante associado. Apresenta-se um caso de Hepa associado ao uso de DOAC, no qual não foi identificado nenhum outro fator precipitante além da anticoagulação.  Apresentação do caso:  Mulher de 74 anos consultou hospital de quarto nível em Bogotá por dor abdominal e massa palpável de início súbito não associada a trauma. Ela tinha histórico de doença tromboembólica venosa recorrente, para a qual estava sendo anticoagulada com rivaroxabana. O exame físico revelou massa dolorosa no flanco esquerdo, sem irritação peritoneal. A angiotomografia dos vasos abdominais mostrou um hematoma do músculo reto abdominal esquerdo com sangramento ativo da artéria epigástrica inferior. Nenhum outro fator, além da anticoagulação, foi encontrado como possível etiologia. Foi realizada embolização arterial seletiva com controle adequado do sangramento, o que permitiu a retomada precoce da anticoagulação.  Discussão:  A Hepa é uma entidade rara e potencialmente fatal, sendo a anticoagulação relatada como o principal fator associado, embora seja um evento infrequente com DOAC. A maioria também descreve fatores desencadeantes, como tosse, empurrões e vômitos, e exigirá tratamento expectante; no entanto, o tratamento endovascular precoce deve ser considerado para melhores resultados.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hematoma]]></kwd>
<kwd lng="es"><![CDATA[pared abdominal]]></kwd>
<kwd lng="es"><![CDATA[anticoagulantes]]></kwd>
<kwd lng="es"><![CDATA[rivaroxabán]]></kwd>
<kwd lng="es"><![CDATA[reporte de caso]]></kwd>
<kwd lng="en"><![CDATA[hematoma]]></kwd>
<kwd lng="en"><![CDATA[abdominal wall]]></kwd>
<kwd lng="en"><![CDATA[anticoagulants]]></kwd>
<kwd lng="en"><![CDATA[rivaroxaban]]></kwd>
<kwd lng="en"><![CDATA[case report]]></kwd>
<kwd lng="pt"><![CDATA[hematoma]]></kwd>
<kwd lng="pt"><![CDATA[parede abdominal]]></kwd>
<kwd lng="pt"><![CDATA[anticoagulantes]]></kwd>
<kwd lng="pt"><![CDATA[rivaroxabana]]></kwd>
<kwd lng="pt"><![CDATA[relato de caso]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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