Case of Nontraumatic Rectus Sheath Hematoma from Muscle Training Mimicking Acute Abdomen

Autor: Ariyoshi, Yukino, Naito, Hiromichi, Ihoriya, Hiromi, Yumoto, Tetsuya, Fujisaki, Noritomo, Tsukahara, Kohei, Yamada, Taihei, Mandai, Yasuhiro, Osako, Takaaki, Nakao, Atsunori
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Emergency Medicine.
ISSN: 2090-648X
DOI: 10.1155/2019/3158969
Popis: Rectus sheath hematoma is an unusual but well-known clinical problem. Our hospital admitted a 54-year-old woman complaining of harsh right-sided hypogastric pain that started while muscle training. Computed tomography of the abdomen and pelvis demonstrated a right rectus sheath hematoma. As the hematoma did not increase, the patient was conservatively treated. Despite increased awareness of rectus sheath hematoma, its early diagnosis and treatment still present a challenge to emergency physicians. Swift acknowledgement of this rare cause of abdominal pain may avoid more intrusive examination, unnecessary hospitalization, and laparotomy. Careful consideration of the patient’s medical history and a high index of suspicion are needed to diagnose this complication.
Databáze: OpenAIRE
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