Rectus sheath hematoma with underlying hepatic flexure hematoma secondary to stabbing
Citation, DOI, disclosures and case data
Pascoe H, Rectus sheath hematoma with underlying hepatic flexure hematoma secondary to stabbing. Case study, Radiopaedia.org (Accessed on 31 May 2023) https://doi.org/10.53347/rID-32867
At the time the case was submitted for publication Heather Pascoe had no recorded disclosures.View Heather Pascoe's current disclosures
12 Jul 2015
13 times, by 3 contributors - see full revision history and disclosures
Case of the day:
18 Mar 2018
Stabbing to right upper quadrant.
Age: 65 years
CT Abdomen and Pelvis
From the case: Rectus sheath hematoma with underlying hepatic flexure hematoma secondary to stabbing
Loading Stack -
0 images remaining
Axial C+ portal venous phase
- Large acute right rectus sheath hematoma with active bleeding.
- Perihepatic haemoperitoenum with hematocrit level. No underlying liver laceration.
- Large mural hematoma involving the hepatic flexure - no free gas to suggest full mural penetration; however, this cannot be excluded.
- Pelvic free fluid of blood density.
- Previous gastric surgery and cholecystectomy.
1 case question available
Penetrating injuries are most often caused by firearms (see gunshot injuries) but also by knife wounds and other forms of impalement. Determining the trajectory of the wound tract assists with the evaluation of the CT as organs lying along the tract have a high likelihood of being injured.
- Lubner M, Menias C, Rucker C, Bhalla S, Peterson CM, Wang L, Gratz B. Blood in the belly: CT findings of hemoperitoneum. (2007) Radiographics : a review publication of the Radiological Society of North America, Inc. 27 (1): 109-25. doi:10.1148/rg.271065042 - Pubmed