Spontaneous rectus sheath hematoma mimicking acute abdomen

  • Harish Kumar Hanumappa
  • Lloyson Benix A V


Rectus sheath hematoma has been described in the past due to various etiologies with varying degrees of severity. It is a rare cause of acute abdomen. Clinical presentation may vary from person to person and based on site of collection and source of bleeding. Various management options including surgical and non-surgical measures have been described and generally present with tenderness with a mass of varying size based on the duration and amount of bleeding. Here, we present the case of a 72-year-old female with acute abdomen on presentation, unstable vitals, and severe pallor. A tender mass over the left lower part of the abdomen was found, and on further evaluation with imaging, the patient was found to have a rectus sheath hematoma. The hematoma was successfully treated with the evacuation of the hematoma and ligation of the bleeding vessel.

Keywords: Contrast-enhanced computed tomography, Inferior epigastric vessels, Rectus sheath hematoma, Surgery
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How to Cite
Hanumappa, H., & A V, L. ( ). Spontaneous rectus sheath hematoma mimicking acute abdomen. Indian Journal of Case Reports, 4(6), 489-491. https://doi.org/https://doi.org/10.32677/IJCR.2018.v04.i06.027
Case Report

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