Rectus sheath hematoma

Case contributed by Dr Ian Bickle

Presentation

Acute left sided abdominal pain. No pro-offered history of coagulopathy or being on prescribed medications.

Patient Data

Age: 50-55 years
Gender: Female
CT

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.

Case Discussion

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
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Case information

rID: 33434
Published: 13th Jan 2015
Last edited: 14th Aug 2019
Tag: rdgh
Inclusion in quiz mode: Included

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