Spontaneous rectus sheath hematomas
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 abdominis muscles with high attenuation on non-contrast images, especially in a patient on anticoagulant therapy, is highly likely to represent rectus sheath hematomas.