Rectus sheath hematoma
Acute left sided abdominal pain. No pro-offered history of coagulopathy or being on prescribed medications.
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Large well defined elliptical mass in the left rectus sheath with variable attenuation within - consistent with blood of different ages.
Active contrast extravastation within, in keeping with active bleeding.
Rectus sheath hematoma is distinct in appearance - hemorrhage contained within the sheath of the anterior abdominal wall rectus sheath muscles.
The hematoma adopts an elliptical shape as the bulging sheath dictates.
It may occur in patients:
- on anticoagulant medication
- with a know coagulopathy
- following abdominal wall trauma