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[A case of rectus sheath hematoma].

S Hayashi1, H Ishihara, Y Hamanaka

  • 11st Department of Surgery, Hiroshima University School of Medicine.

Kokyu to Junkan. Respiration & Circulation
|October 1, 1992
PubMed
Summary

This case study highlights rectus sheath hematoma, a rare condition. Advanced imaging like ultrasound and CT scans now enable easier and more accurate diagnosis of this abdominal emergency.

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Area of Science:

  • Medical Case Reports
  • Diagnostic Imaging
  • Abdominal Surgery

Background:

  • Rectus sheath hematoma is an uncommon clinical diagnosis.
  • A history of vascular surgery, such as axillo-femoral bypass, may be a predisposing factor.
  • Severe coughing can precipitate rectus sheath hematoma.

Observation:

  • A 78-year-old male patient presented with acute lower abdominal pain following severe coughing.
  • The patient had a prior history of axillo-femoral bypass surgery.
  • Initial diagnosis was acute abdomen, leading to surgical intervention.

Findings:

  • Abdominal ultrasonography and computed tomography (CT) scanning confirmed a hematoma within the rectus abdominis muscle.
  • These imaging modalities facilitate accurate diagnosis of rectus sheath hematoma.

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  • Distinguishing rectus sheath hematoma from other acute abdominal conditions is crucial.

    • Implications:

    • Improved diagnostic accuracy with non-invasive imaging techniques like ultrasound and CT.
    • Timely diagnosis can potentially avoid unnecessary surgical procedures for acute abdomen.
    • Understanding predisposing factors aids in early recognition and management of rectus sheath hematoma.