Spontaneous Rectus Sheath Hematoma
نویسندگان
چکیده
Abdominal wall pathology is a frequently overlooked cause of acute abdomen. Increasing use of antiplatelet and anticoagulant therapies has led to an increase in the incidence of spontaneous rectus sheath hematoma (RSH). A high index of suspicion is needed for diagnosis as it can closely mimic other causes of acute abdomen. Herein, we report a case of RSH presenting with abdominal pain in which there was a significant delay in diagnosis. We wish to highlight the need to increase awareness among primary and emergency physicians about considering RSH in the initial differential diagnoses of abdominal pain.
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Rectus sheath hematoma is an uncommon and frequently misdiagnosed cause of acute abdominal pain3. Although the exact incidence is unknown, Klingler et al.6 observed 23 cases (1.8%) of rectus sheath hematoma among 1257 patients evaluated by ultrasound for acute abdominal disorders. It is defined as spontaneous in patients without history of abdominal trauma. In these cases, anticoagulation thera...
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Rectus sheath hematoma can be an unusual cause of abdominal mass that may present as an acute intra - abdominal problem. There are multiple causes and 1 with a tnrouqt: history, usually some precipitating factor can be identified. Hematoma is frequently due to rupture of Epigastric vesseles and only rarely to rupture of Rectus Abdominis muscle fibers. Misdiagnosis may result in the performance ...
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