Rectus abdominis strain - ultrasound

Case contributed by Maulik S Patel
Diagnosis certain


Cough for 3 days. Left-sided abdominal pain while coughing for the last 1 day.

Patient Data

Age: 65 years
Gender: Female

At the site of pain pointed by the patient ( left side of the umbilical region ); there is an ill-defined area of altered echopattern involving left rectus muscle; measuring about 20 x 20 mm. There is a tiny fluid cleft in it. There is no local hypervascularity. There is no intramuscular / rectus sheath collection.

Case Discussion

An elderly lady developed left-sided abdominal pain after a few days of cough. Ultrasound findings favor rectus abdominis muscle strain. The patient was not receiving anti-thrombotic treatment.

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