PURPOSE The aim of the present study was to assess, in cadavers, the resistance to medial traction of the posterior and anterior layer of the rectus abdominis muscle sheath. METHODS An anatomical, prospective, self-controlled study was carried out in 20 male cadavers. An evaluation of the tension of the posterior and anterior layers of the rectus abdominis muscle sheath was performed followin...

CASE REPORTS We report three cases of rectus sheath haematoma in elderly women. This condition is commonly misdiagnosed at any age but is an even more elusive diagnosis in elderly patients. CONCLUSION It is important to consider rectus sheath haematoma in older patients with an abdominal or pelvic mass or spontaneous abdominal ecchymoses.

We treated a 78-year-old female affected by nontraumatic spontaneous rectus sheath hematoma. We decided to perform the embolization with the new liquid agent Squidperi. Complete exclusion of the bleeding vessel was obtained without complications. Its use should be considered for treatment of nontraumatic 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...

DESCRIPTION A 64-year-old Caucasian man with a history of smoking, chronic obstructive pulmonary disease (COPD), hypertension and diabetes mellitus presented with increasing shortness of breath and cough. While being treated for COPD exacerbation, he developed atrial fibrillation with rapid ventricular response. Treatment with intravenous diltiazem was started. Serum electrolyte levels, twodime...

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 ...

Bleeding into the rectus sheath is an uncommon but a well-recognised condition that mimics several other diagnoses of acute abdomen. A wide range of etiology has been proposed in association with this condition. It is often self-limiting, but can lead to unnecessary laparotomy if the diagnosis is not recognised.

Throughout the coronavirus disease 2019 pandemic, patients using oral anticoagulants for mechanical valve replacement and/or another clinical-pathological condition might have faced various clinical scenarios. Rectus sheath hematoma is one of acute abdominal pain syndromes. This study presented a patient with developed anticoagulation-induced rectus after mitral replacement.