Abdominal compartment syndrome – a fatal complication from a rectus sheath haematoma

Rectus sheath haematoma is increasingly being seen in patients with anticoagulation therapy. Abdominal compartment syndrome is a rare complication of rectus sheath haematoma with only two cases reported in literature. The authors report a case of a young male who developed abdominal compartment syndrome from a rectus sheath haematoma secondary to anticoagulation therapy. The case highlights the need for a surgical intervention in such exceptional cases.