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Rectus sheath haematoma causing muscle necrosis.

A R Askew

    The Australian and New Zealand Journal of Surgery
    |October 1, 1980
    PubMed
    Summary

    Rectus sheath hematomas are rare, with associated rectus muscle necrosis being exceptionally uncommon. Non-surgical management is typically preferred for these abdominal wall hematomas.

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    Area of Science:

    • Abdominal wall surgery
    • Vascular emergencies
    • Gastrointestinal medicine

    Background:

    • Rectus sheath hematomas (RSH) are uncommon collections of blood within the rectus abdominis muscle sheath.
    • Associated rectus muscle necrosis is a rare complication, necessitating careful diagnostic and therapeutic considerations.

    Observation:

    • This study discusses the etiological factors contributing to rectus sheath hematomas and the rare occurrence of associated rectus muscle necrosis.
    • Clinical presentation and diagnostic challenges of RSH with muscle necrosis are highlighted.

    Findings:

    • Etiological factors for rectus sheath hematomas, particularly those with associated muscle necrosis, are reviewed.
    • Non-surgical treatment is generally the preferred approach for rectus sheath hematomas.
    • Surgical intervention, involving hematoma evacuation and ligation of feeding vessels, is effective when indicated.

    Implications:

    • Understanding the rare complication of rectus muscle necrosis in RSH is crucial for appropriate patient management.
    • This review provides guidance on preferred non-surgical and surgical treatment strategies for rectus sheath hematomas.
    • Effective surgical techniques can lead to successful outcomes in complex RSH cases.

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