Spontaneous rectus sheath hematomas
65 years old male pateint with lower abdominal midline lump and pain. On anticoagulants.
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The lower part of the rectus abdominis muscles are enlarged with high attenuation (values) within.
The enlargement of the rectus abdominus muscles with high attenuation on non contrast images, especially in a patient on anti-coagulant therapy, is pathognomonic of rectus sheath hematomas.