Rectus Sheath Hematoma Caused by Non-Contact Strenuous Exercise Mimicking Acute Appendicitis

Oh, Je Hyeok; Kim, Tae Han; Jae, Sung; Kim, Seung Ho

doi:10.1016/j.jemermed.2007.10.088

Cited by 9 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The abdominal examination typically reveals a tender abdomen, though a palpable abdominal mass may be absent. If a mass is present, it does not move with respiration (3,5,6).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Diagnosis of Rectus Sheath Hematoma

Lewiss

2012

The Journal of Emergency Medicine

View full text Add to dashboard Cite

“…The abdominal examination typically reveals a tender abdomen, though a palpable abdominal mass may be absent. If a mass is present, it does not move with respiration (3,5,6).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Diagnosis of Rectus Sheath Hematoma

Lewiss

2012

The Journal of Emergency Medicine

View full text Add to dashboard Cite

“…The iliopsoas muscle is the most affected followed by the rectus sheath. Differential diagnosis with abdominal and gynaecological diseases should be remembered to avoid misdiagnosis [14].…”

Section: Muscle Haematomamentioning

confidence: 99%

Surgical treatment for muscle injuries

Ramos

Carvalho

Abdalla

et al. 2015

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

Muscle injury causes functional impairment. The healing process takes time and fibrotic tissue can result. Recurrence and delayed recovery remain as unsolved problems. Surgical intervention can be a feasible alternative to avoid early and late complications associated with complete muscle tear in attempt to improve functional results. This article hopes to provide an update about surgical treatments for muscle tears in different scenarios.

show abstract

“…Abdominal surgery, trauma, and anticoagulant therapy are the most common predisposing factors for RSH, [1][2][3] and ultrasonography and computed tomography (CT) are the imaging modalities of choice in suspected cases. [4][5][6] We report the case of a patient with a spontaneous RSH due to a ruptured inferior epigastric artery pseudoaneurysm who presented with hypotension and severe abdominal pain and was diagnosed using pointof-care ultrasonography.…”

Section: -3mentioning

confidence: 99%

“…1,2 RSH is associated with a variety of etiologies, including 1) sudden abdominal wall muscular contraction from coughing, sneezing, or strenuous exercise; 2) direct trauma or surgical procedures; 3) pregnancy and labour; 4) hyperextension of the rectus muscle associated with obesity, ascites, or tumours; and 5) coagulopathy. [1][2][3] Abdominal surgery, trauma, and anticoagulant therapy are the most common predisposing factors for RSH, [1][2][3] and ultrasonography and computed tomography (CT) are the imaging modalities of choice in suspected cases. [4][5][6] We report the case of a patient with a spontaneous RSH due to a ruptured inferior epigastric artery pseudoaneurysm who presented with hypotension and severe abdominal pain and was diagnosed using pointof-care ultrasonography.…”

Section: Ré Sumémentioning

confidence: 99%

Spontaneous rectus sheath hematoma diagnosed by point-of-care ultrasonography

Shokoohi

Boniface

Taheri

et al. 2013

CJEM

View full text Add to dashboard Cite

Spontaneous rectus sheath hematoma is an uncommon condition that can mimic other conditions associated with an acute abdomen. We report the case of a patient with a spontaneous rectus sheath hematoma due to a ruptured inferior epigastric artery pseudoaneurysm who presented with hypotension and severe abdominal pain and was diagnosed using emergency department point-of-care ultrasonography. Point-of-care ultrasonography has been increasingly used in the evaluation of emergency department patients with acute abdomen and hypotension to expedite the diagnosis and management of aortic aneurysm and intraperitoneal bleeding. Resuscitation and urgent surgical and interventional radiology consultations resulted in the successful embolization of a branch of the inferior epigastric artery and a good outcome. RÉ SUMÉL'hé matome spontané de la gaine du grand droit est un é vé nement rare, qui peut simuler d'autres affections associé es à un abdomen aigu. Nous faisons é tat, dans le pré sent article, du cas d'un patient qui a consulté pour un hé matome spontané de la gaine du grand droit, attribuable à la rupture d'un pseudo-ané vrisme de l'artè re é pigastrique infé rieure; le malade é tait en é tat d'hypotension et ressentait de vives douleurs abdominales. Le diagnostic a é té posé à partir d'une é chographie pratiqué e à l'urgence. On recourt de plus en plus à ce type d'examen pour é valuer les patients aux services des urgences, qui pré sentent un abdomen aigu et de l'hypotension, afin d'accé lé rer la pose du diagnostic d'ané vrisme de l'aorte et d'hé morragie intrapé ritoné ale ainsi que leur prise en charge. Les manoeuvres de ré animation auxquelles s'ajoutent les consultations urgentes en radiologie interventionnelle et en chirurgie ont permis l'embolisation d'une ramification de l'artè re é pigastrique infé rieure et l'obtention d'une issue favorable.Keywords: inferior epigastric artery rupture, rectus sheath hematoma, ultrasonographyRectus sheath hematoma (RSH) is a rare and frequently misdiagnosed cause of abdominal pain that can mimic other conditions associated with an acute abdomen.1,2 RSH is associated with a variety of etiologies, including 1) sudden abdominal wall muscular contraction from coughing, sneezing, or strenuous exercise; 2) direct trauma or surgical procedures; 3) pregnancy and labour; 4) hyperextension of the rectus muscle associated with obesity, ascites, or tumours; and 5) coagulopathy. 1-3Abdominal surgery, trauma, and anticoagulant therapy are the most common predisposing factors for RSH, [1][2][3] and ultrasonography and computed tomography (CT) are the imaging modalities of choice in suspected cases. [4][5][6] We report the case of a patient with a spontaneous RSH due to a ruptured inferior epigastric artery pseudoaneurysm who presented with hypotension and severe abdominal pain and was diagnosed using pointof-care ultrasonography. The purpose of this report is to increase awareness in the emergency medicine community regarding the possibility of RSH in the appropriate context and to...

show abstract

Rectus Sheath Hematoma Caused by Non-Contact Strenuous Exercise Mimicking Acute Appendicitis

Cited by 9 publications

References 8 publications

Ultrasound Diagnosis of Rectus Sheath Hematoma

Ultrasound Diagnosis of Rectus Sheath Hematoma

Surgical treatment for muscle injuries

Spontaneous rectus sheath hematoma diagnosed by point-of-care ultrasonography

Contact Info

Product

Resources

About