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Related Experiment Video

Updated: Jun 13, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

Spontaneous rectus sheath hematoma.

Venkata M Alla¹, Showri M Karnam, Manu Kaushik

¹Creighton University Medical Center, Department of Internal Medicine, Omaha, NE.

The Western Journal of Emergency Medicine

|April 23, 2010

Summary

Spontaneous rectus sheath hematoma (RSH) is an often missed cause of acute abdominal pain. Increased awareness among physicians is crucial for timely diagnosis and treatment of this condition, especially with rising anticoagulant use.

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Area of Science:

Gastroenterology
Emergency Medicine
Radiology

Background:

Abdominal wall pathology is an underrecognized cause of acute abdomen.
Spontaneous rectus sheath hematoma (RSH) incidence is rising due to increased antiplatelet and anticoagulant use.
RSH can mimic other acute abdominal conditions, delaying diagnosis.

Purpose of the Study:

To highlight the diagnostic challenges of rectus sheath hematoma.
To emphasize the importance of considering RSH in the differential diagnosis of acute abdominal pain.
To increase awareness among primary and emergency physicians regarding RSH.

Main Methods:

Case report presentation.
Review of clinical presentation and diagnostic considerations for RSH.
Discussion of differential diagnoses for acute abdominal pain.

Main Results:

A case of rectus sheath hematoma with delayed diagnosis is presented.
The study underscores the potential for RSH to be overlooked in acute abdominal pain evaluations.
Diagnostic delays can occur due to RSH mimicking other pathologies.

Conclusions:

Rectus sheath hematoma requires a high index of suspicion for prompt diagnosis.
Increased physician awareness is vital for integrating RSH into initial differential diagnoses.
Timely recognition of RSH is essential for appropriate patient management.