Original Article

Conservative management of hematoma of the rectus sheath, unusual cause of acute abdomen: A case report

Abstract

Rectus sheath hematoma (RSH) is an accumulation of blood within the rectus sheath, secondary to rupture of the epigastric arteries. It is a rare condition, accounting for 1.6-1.8% of abdominal pain cases. It is more frequentlyo bserved in women, over the age of 50. Predisposing factors include the long-term use of anticoagulants, antiplatelets, steroids or immunosuppressants, prolonged INR, pregnancy, cardiovascular disease, hematologicaldis ease, hypertension, and diabetes. The symptoms are typically described as persistent and non-radiating acuteabdominal pain that classically worsens with movements involving the abdominal wall (Carnett’s sign). Cullen’ssigns (periumbilical ecchymosis) and Gray Turner’s signs (flank ecchymosis) may also be present. In stable
patients, the management is conservative.

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IssueVol 7 No 2 (2024) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ajs.v7i2.16351
Keywords
Rectus, hematoma, surgery
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Gutiérrez González JA, Curiel Rivas JA, Cerda Garcia MV, Muñoz Maldonado GE. Conservative management of hematoma of the rectus sheath, unusual cause of acute abdomen: A case report. AJS. 2024;7(2):37-39.