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Rectus sheath hematoma: report of a case
R B Hecker1, W H Bradshaw, S F Pinkerton
1Critical Care Service, Brooke Army Medical Center, Fort Sam Houston, Texas 78234.
Texas Medicine
|November 1, 1990
Summary
Rectus sheath hematoma is a rare condition that can mimic surgical emergencies. Prompt diagnosis and management are crucial, especially in anticoagulated patients, to prevent life-threatening complications.
Area of Science:
- Abdominal Surgery
- Vascular Surgery
- Emergency Medicine
Background:
- Rectus sheath hematoma (RSH) is an uncommon condition.
- It arises from acute disruption of epigastric vessels or rectus muscle rupture.
- RSH can clinically mimic an acute surgical abdomen.
Observation:
- A 21-year-old female student presented with acute abdominal pain.
- The onset followed physical fitness training.
- This presentation mimicked an acute surgical abdomen.
Findings:
- The patient's condition, while potentially life-threatening due to bleeding into the rectus muscle, was managed.
- Conservative management is often suitable for RSH.
- Anticoagulated patients require vigilant monitoring.
Implications:
- This case highlights the importance of considering RSH in the differential diagnosis of acute abdominal pain.
- Early recognition and appropriate management are vital, particularly in patients on anticoagulation.
- Understanding the potential severity of RSH is crucial for clinicians.