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Related Concept Videos

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Related Experiment Video

Updated: Jan 21, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
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Giant rectus sheath hematoma.

Gabriela Bello1, Pablo Blanco2

  • 1Intensive Care Unit, Hospital Central de las Fuerzas Armadas (DNSFFAA), 3060, 8 de Octubre Ave., 11600, Montevideo, Uruguay.

The Ultrasound Journal
|July 31, 2019
PubMed
Summary
This summary is machine-generated.

Point-of-care ultrasound (POCUS) effectively diagnoses rectus sheath hematoma (RSH), an uncommon abdominal condition. This imaging technique aids in prompt treatment and improved patient outcomes.

Keywords:
Computed tomographyCritical careHematomaPoint of careRectus abdominisUltrasound

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Area of Science:

  • Emergency Medicine
  • Radiology
  • Surgical Diagnosis

Background:

  • Rectus sheath hematoma (RSH) is a rare condition often linked to anticoagulation therapy.
  • RSH can present with symptoms mimicking more common abdominal pathologies, complicating diagnosis.
  • Accurate and timely diagnosis of RSH is crucial for effective management and reducing patient morbidity and mortality.

Purpose of the Study:

  • To evaluate the diagnostic utility of point-of-care ultrasound (POCUS) in identifying rectus sheath hematoma (RSH).
  • To present a case study highlighting the successful application of POCUS in diagnosing RSH in an emergency setting.

Main Methods:

  • Case report of an elderly patient presenting with shock, abdominal pain, a palpable mass, and anemia.
  • Initial assessment using point-of-care ultrasound (POCUS) to identify a suspected large RSH.
  • Confirmation of the diagnosis via computed tomography (CT) scan.
  • Surgical intervention for the confirmed rectus sheath hematoma.

Main Results:

  • Point-of-care ultrasound (POCUS) demonstrated high sensitivity in detecting rectus sheath hematoma (RSH).
  • Computed tomography (CT) confirmed the diagnosis of a large RSH.
  • Surgical treatment resulted in significant clinical improvement for the patient.

Conclusions:

  • Point-of-care ultrasound (POCUS) is a valuable and sensitive tool for the diagnosis of rectus sheath hematoma (RSH).
  • POCUS serves as an excellent modality for monitoring patients diagnosed with RSH.
  • Early POCUS diagnosis can lead to timely intervention and improved patient outcomes for RSH.