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Related Experiment Video

Updated: Jul 8, 2026

Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler
03:45

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Published on: January 25, 2010

Rectus sheath hematoma: three case reports.

Selin Kapan1, Ahmet N Turhan, Halil Alis

  • 1Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of General Surgery, Istanbul, Turkey. selinkapan@gmail.com

Journal of Medical Case Reports
|January 29, 2008
PubMed
Summary

Rectus sheath hematoma, a rare cause of abdominal pain, is often misdiagnosed. Computerized tomography is key for accurate diagnosis, with conservative management being the primary treatment approach for this condition.

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Last Updated: Jul 8, 2026

Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler
03:45

Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler

Published on: January 25, 2010

Area of Science:

  • Abdominal Imaging
  • Surgical Pathology

Background:

  • Rectus sheath hematoma (RSH) is an uncommon cause of acute abdominal pain.
  • It involves blood accumulation in the rectus abdominis sheath, often due to vessel rupture or muscle tear, occurring spontaneously or post-trauma.
  • RSH is frequently misdiagnosed as other acute abdominal conditions, leading to potential diagnostic delays or inappropriate interventions.

Purpose of the Study:

  • To present three cases of rectus sheath hematoma diagnosed via computed tomography.
  • To highlight the diagnostic challenges and effective management strategies for RSH.

Main Methods:

  • Case series reporting three patients with abdominal masses.
  • Diagnosis confirmed using computed tomography (CT).
  • Treatment involved conservative management including bed rest, IV fluids, blood transfusion, and analgesics.

Main Results:

  • All three patients presented with abdominal masses.
  • Computed tomography successfully diagnosed rectus sheath hematoma in all cases.
  • Patients recovered fully with conservative treatment, avoiding surgical intervention.

Conclusions:

  • Rectus sheath hematoma is a rare condition often misdiagnosed, potentially leading to unnecessary laparotomies.
  • Computed tomography is the preferred imaging modality for definitive diagnosis over ultrasonography.
  • Conservative management is the mainstay of treatment for rectus sheath hematoma.