An unanticipated diagnosis with bedside ultrasonography in patients with acute abdominal pain: rectus hematoma
نویسندگان
چکیده
Although abdominal pain is a common presentation in emergency departments, rectus sheath hematoma (RSH) is among the rarest diagnosis. Here we present 2 cases of RSH likely caused by coughing due to upper respiratory tract infection. The two described cases were diagnosed by bedside ultrasonography and confirmed as RSH by computed tomography. Review of patient history and use of ultrasonography are important to avoid misdiagnosisof RSH.
منابع مشابه
Rectus sheath hematoma: three case reports
INTRODUCTION Rectus sheath hematoma is an uncommon cause of acute abdominal pain. It is an accumulation of blood in the sheath of the rectus abdominis, secondary to rupture of an epigastric vessel or muscle tear. It could occur spontaneously or after trauma. They are usually located infraumblically and often misdiagnosed as acute abdomen, inflammatory diseases or tumours of the abdomen. CASE ...
متن کاملSpontaneous rectus sheath hematoma: an analysis of 15 cases.
BACKGROUND Spontaneous rectus sheath hematoma (RSH) is an uncommon and frequently misdiagnosed cause of acute abdominal pain. The purpose of this study is to present our experiences in the diagnosis and treatment of spontaneous RSH. METHODS This is a retrospective study of the medical histories of 15 patients admitted to our emergency surgery unit between January 2000 and July 2009 and diagno...
متن کاملDoes it require to exclude cardiobiliary reflex in every acute coronary syndrome follow up patient with bedside ultrasound on emergency department
In emergency department, physicians can diagnose pulseless electrical activity, asystole, pericardial effusions, ischemic heart disease, wall motion abnormalities, valvular cardiac disease volume status or global cardiac function evaluating with electrocardiographic findings or using bedside c...
متن کاملSpontaneous rectus sheath hematoma.
' 2003 Canadian Medical Association A71-year-old diabetic man was admitted with a 2-day history of acute left lower abdominal pain. He denied any history of trauma or sport activity before admission. On examination he was normotensive and apyrexial. An exquisitely tender abdominal wall mass was felt at the left iliac fossa. The abdominal pain increased and the mass became more prominent when th...
متن کاملSubcapsular liver hematoma after colonoscopy diagnosed by emergency department bedside ultrasonography.
BACKGROUND Hepatic subcapsular hematoma is an uncommon cause of right upper quadrant pain in the Emergency Department. It must be recognized early, as large volumes of acute blood loss and rupture into the peritoneum carry significant morbidity and mortality. In the absence of gallbladder disease, the differential diagnosis should include liver pathology. Bedside ultrasonography can be used to ...
متن کامل