Related Experiment Video
Updated: Aug 29, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
Published on: June 8, 2013
Rupture of internal iliac artery aneurysm presenting as rectus sheath hematoma: case report
Gianmarco de Donato1, Eugenio Neri, Irene Baldi
1Vascular Surgery, University of Siena, Policlinico Le Scotte, Viale Bracci, 53100 Siena, Italy. gdedonato@inwind.it
Abstract:
This report describes a ruptured internal iliac artery aneurysm that presented as a rectus sheath hematoma (RSH). The patient developed abdominal pain and a large, tense lower abdominal wall mass without peritoneal signs. Computed tomography scan demonstrated a massive RSH contiguous with a ruptured left internal iliac artery aneurysm. Hypovolemic shock prompted immediate laparotomy, aneurysmorrhaphy of the ruptured aneurysm, and evacuation of the rectus hematoma. This uncommon presentation of internal iliac aneurysm rupture should caution against a simple diagnosis of "spontaneous" RSH in a patient with a potentially ruptured iliac aneurysm.
Related Concept Videos
Aneurysm III: Interprofessional Care
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Aneurysm I: Introduction
Hemorrhagic Stroke l: Introduction
Abdominal Aorta
The celiac trunk, a singular artery, divides into the left gastric artery, which...
Hemorrhagic Stroke ll: Pathophysiology