Rectus sheath hematoma complicating an exacerbation of asthma1

Arteriovenous malformation: An unusual cause of rectus sheath hematoma, following laparoscopic cholecystectomy

“…4 Blunt trauma, abdominal surgery, coughing, asthma, physical exercise, laparoscopic trocar placement and pregnancy are reported as risk factors predisposing to RSH due to muscle fibers tearing or epigastric vessels rupturing. [1][2][3][4] Below the arcuate line there is only transversalis fascia between peritoneum and posterior rectus sheath, therefore an RSH can mimic acute abdomen. Presenting symptoms and signs consist of abdominal pain and cramping, tachycardia, fever, palpable abdominal mass, ecchymosis, nausea and vomiting.…”

“…1 Causes of RSH reported in the literature include: blunt trauma, abdominal surgery, coughing, asthma, subcutaneous drug injections, physical exercise, pregnancy, trocar site injury after laparoscopic procedures, or even automatically, mostly affecting patients undergoing anticoagulation treatment. [2][3][4] A rare case of RSH, on the twelfth postoperative day after laparoscopic cholecystectomy (LC) in a 67-year-old woman is presented herein. The patient was undergoing anticoagulation treatment due to mitral valve replacement and the cause of the RSH was an arteriovenous malformation (AVM) rupture.…”

Sonographic appearance of a tear of the lateral internal oblique muscle resulting from cough

“…We found only one case of rectus sheath hematoma complicating an asthma attack. 5 Expiratory muscles include the internal intercostals, the triangularis sterni, the serratus posterior, the quadratus lumborum, and the abdominal muscles, which are composed of the external oblique, the internal oblique, and the rectus abdominis. The diaphragm is mainly an inspiratory muscle.…”

“…Sonography and CT can be used to that effect. 5 These techniques can also rule out any other acute condition involving an intraabdominal organ (eg, the kidney). In our case, sonographic examination revealed a muscular tear; CT, which was performed to evaluate lung parenchymal disease, confirmed the diagnosis.…”

Hemorrhagic Shock and Obstructive Uropathy Due to a Large Rectus Sheath Hematoma in a Patient on Anticoagulant Therapy

“…Rectus sheath hematoma due to rupture of epigastric vessels has been reported in the literature as a complication of anticoagulant therapy (1,2), subcutaneous abdominal injection of insulin (3), after severe coughing bouts (4), pregnancy (5), connective tissue disorders (6), hematological disorders associated with alcoholic liver disease (7). Symptoms range from slight abdominal pain to hypovolemic shock.…”