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Rectus sheath hematoma masquerading as acute pancreatitis: a case report
Aleena Aman1, Ayesha Malik2, Muddassir Khalid2
1Department of Emergency Medicine, Nazareth Hospital, Philadelphia, PA, USA.
Annals of Medicine and Surgery (2012)
|February 12, 2026
Summary
Rectus sheath hematoma (RSH) can mimic serious abdominal emergencies. Early diagnosis with CT imaging is crucial for conservative management and improved outcomes in patients with acute abdominal pain.
Area of Science:
- Abdominal Imaging
- Emergency Medicine
- Surgical Pathology
Background:
- Rectus sheath hematoma (RSH) is an uncommon cause of acute abdominal pain, often misdiagnosed.
- RSH can present with signs mimicking intra-abdominal emergencies like pancreatitis.
- Conservative management is often successful if diagnosed early.
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