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Updated: Jan 21, 2026
In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
Published on: June 8, 2013
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.
Background:
Rectus sheath hematoma (RSH) is an uncommon entity associated with predisposing factors such as anticoagulation. It may mimic more frequent abdominal conditions and its accurate diagnosis is important to focus on the correct treatments and improve morbidity and mortality.
Case Presentation:
An elderly patient with shock, abdominal pain, palpable abdominal mass, and anemia was suspected of having a large RSH by point-of-care ultrasound (POCUS), which was then confirmed by computed tomography. Surgery was performed, markedly improving his clinical status.
Conclusions:
POCUS has a good sensitivity for the diagnosis of RSH and it is also an excellent tool for patient follow-up.
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