Rectus sheath hematoma

Case contributed by Dr Rania Adel Anan

Presentation

Old male presented with left upper abdominal wall tender swelling with no history of trauma, coagulopathy or being on prescribed medications.

Patient Data

Age: 65 years
Gender: Male

A well defined elliptical shaped heterogeneous mass seen expanding the left upper rectus sheath with variable attenuation inside - consistent with blood products of different ages.

Case Discussion

Spontaneous rectus sheath hematoma with no predisposing factors and no medication use.

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