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Case Reports
. 2024 Jun 1;16(6):e61488.
doi: 10.7759/cureus.61488. eCollection 2024 Jun.

Rectus Sheath Hematoma

Jai Gupta  1 , Sana Tahir  2 , Amelie Oshikoya  2 , Latha Ganti  3   4   5
Affiliations
Case Reports

Rectus Sheath Hematoma

Jai Gupta et al. Cureus. .

Abstract

The authors report on the case of a 69-year-old female who presented to the emergency department due to exquisite abdominal pain she described as occurring after she coughed. Imaging revealed a rectus sheath hematoma (RSH). A RSH is an uncommon but significant cause of acute abdominal pain that occurs when blood accumulates in the sheath of the rectus abdominis muscle. It can be caused by a muscular tear or a ruptured epigastric artery and can happen spontaneously or after trauma. The etiology, presentation, diagnosis, and management are discussed.

Keywords: lower abdominal pain; rare cause of acute abdominal pain; rectus abdominis (ra); rectus sheath hematoma; spontaneous rectus sheath hematoma.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Computed tomography scan demonstrating a large left rectus sheath hematoma measuring approximately 15.0 cm × 4.4 cm × 5.8 cm
See this image and copyright information in PMC

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