Rectus sheath hematoma: a series of unfortunate events.

Full Abstract

INTRODUCTION:
Rectus sheath hematoma is rare. It can present to physicians in many specialties, but invariably the surgeon is contacted regarding management. It is frequently difficult to diagnose, which can result in delay of treatment or unnecessary surgery. Its incidence is on the rise.

METHODS:
We present a series of four cases of rectus sheath hematoma that presented to our hospital within a 5-month period. A comprehensive up-to-date review of the literature was undertaken.

RESULTS:
Our research highlights the diagnostic dilemmas, the spectrum of severity (all three grades are represented), the complications, and the need for interdisciplinary awareness.

CONCLUSIONS:
Rectus sheath hematoma is a rare but important entity in the differential diagnosis of abdominal pain. Interdisciplinary awareness of this condition is essential, as it is frequently difficult to diagnose, leading to delay in treatment or unneeded surgery. Grade 3 hematomas can lead to abdominal compartment syndrome and can be fatal.

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Author information

Author/s: Luhmann, Andreas (A); Williams, Eiffon Vaughn (EV);

Affiliation: Royal Glamorgan Hospital, Ynys Maerdy, Llantrisant, CF72 8XR, UK. andreasluhmann(-atsign-)excite.com

Journal and publication information

Publication Type: Case Reports; Journal Article; Review

Journal: World journal of surgery (World J Surg), published in United States. (Language: eng)

Reference: 2006-Nov; vol 30 (issue 11) : pp 2050-5

Dates: Created 2006/10/26; Completed 2007/04/06; Revised 2007/12/12;

PMID: 17058030, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: World J Surg. 2007 Sep;31(9):1907. (PMID: 17610114)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Abdominal Wall
Aged
Female

Hematoma - radiography; therapy
Humans
Middle Aged

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