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Rectus sheath haematoma in a canoeist
N Maffulli1, G J Petri, E Pintore
1Department of Orthopaedics, Newham General Hospital, London, UK.
British Journal of Sports Medicine
|December 1, 1992
Summary
A canoeist experienced abdominal pain and a mass, diagnosed as rectus sheath hematoma. Conservative treatment led to full recovery and return to sport.
Area of Science:
- Sports Medicine
- Diagnostic Imaging
Background:
- Rectus sheath hematoma is a rare condition, often associated with trauma or anticoagulation.
- Differential diagnosis in athletes presenting with abdominal pain and masses includes various pathologies.
Observation:
- A 26-year-old male canoeist presented with a 10-day history of left upper quadrant abdominal pain and a palpable mass.
- No history of direct trauma or medication use was reported.
- Ultrasonography revealed a mass originating within the rectus abdominis sheath.
Findings:
- Ultrasound-guided aspiration confirmed the diagnosis of rectus sheath hematoma by yielding partially clotted blood.
- The patient's condition was successfully managed with conservative treatment.
Implications:
- This case highlights the importance of considering rectus sheath hematoma in athletes with abdominal pain, even without a clear history of trauma.
- Conservative management can be effective, allowing for a full return to athletic activities.
- Accurate diagnosis through imaging and aspiration is crucial for appropriate patient care.