Rectus sheath haematoma: a new set of diagnostic features
- 1 December 2002
- journal article
- case report
- Published by Oxford University Press (OUP) in Heart
- Vol. 78 (926), 755-756
- https://doi.org/10.1136/pmj.78.926.755
Abstract
Rectus muscle haematoma is a well documented clinical entity, but its diagnosis remains elusive. A haematoma within the rectus sheath produces a painful, tender swelling that can mimic an intraperitoneal mass with features of an acute abdomen. Two patients with rectus haematomas presenting after bouts of prolonged coughing are reported. In both cases, clinical features and ultrasound findings suggested the presence of intraperitoneal pathology. However, in both cases consistent findings in the history and examination pointed towards the diagnosis of a rectus haematoma. It is proposed that these simple clinical criteria are diagnostic of a rectus sheath haematoma, and can thereby avert an unnecessary laparotomy.Keywords
This publication has 9 references indexed in Scilit:
- Rectus sheath hematoma in pregnancyJournal of Clinical Ultrasound, 2001
- Conservative treatment of large rectus sheath hematoma in patients undergoing anticoagulant therapy.Abdominal Radiology, 2000
- Rectus Sheath HematomaAnnals of Emergency Medicine, 1999
- The use of ultrasound to differentiate rectus sheath hematoma from other acute abdominal disordersSurgical Endoscopy, 1999
- Cough Induced Stress Fracture and Arthropathy of the Ribs at Extreme AltitudeInternational Journal of Sports Medicine, 1998
- Rectus sheath hematoma: diagnostic classification by CTAbdominal Radiology, 1996
- Radionuclide Imaging of a Rectus Sheath Hematoma Caused by Insulin InjectionsClinical Nuclear Medicine, 1990
- Rectus sheath hematoma complicating an exacerbation of asthmaJournal of Allergy and Clinical Immunology, 1986
- ABDOMINAL-WALL TENDERNESS: A USEFUL SIGN IN THE ACUTE ABDOMENThe Lancet, 1977