Tehran University of Medical Sciences (TUMS) Academic Journal of Surgery 2423-3218 7 2 2024 07 01 37 39 Jorge Aurelio Gutiérrez González Surgery General, Hospital Universitario “Dr. Jose Eleuterio Gonzalez” , Monterrey, Nuevo Leon Conservative management of hematoma of the rectus sheath Jose Alejandro Curiel Rivas Surgery General, Hospital Universitario “Dr. Jose Eleuterio Gonzalez” , Monterrey, Nuevo Leon Conservative management of hematoma of the rectus sheath Margia Victoria Cerda Garcia Surgery General, Hospital Universitario “Dr. Jose Eleuterio Gonzalez” , Monterrey, Nuevo Leon Conservative management of hematoma of the rectus sheath Gerardo Enrique Muñoz Maldonado Surgery General, Hospital Universitario “Dr. Jose Eleuterio Gonzalez” , Monterrey, Nuevo Leon Conservative management of hematoma of the rectus sheath 2024 07 01 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. https://ajs.tums.ac.ir/index.php/ajs/article/view/265