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Type III Rectus Sheath Hematoma: A Case Report

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Author(s): Yalçın GÖLCÜK | Deniz ORAY | Ender BADEMKIRAN

Journal: Turkish Journal of Emergency Medicine
ISSN 1304-7361

Volume: 12;
Issue: 1;
Start page: 38;
Date: 2012;
Original page

Keywords: Computerized tomography | rectus sheet hematoma | warfarin overdose.

ABSTRACT
A rectus sheath hematoma occurs an accumulation of blood in the sheath of the rectus abdominis, secondary to rupture of an epigastric arteries or their branches or rectus muscle tear. The choice of effective treatment of rectus sheath hematoma and the decision to admit the patient to hospital depends on the degree of haemodynamic compromise, coagulation status as well as the type of the hematoma on abdominopelvic computerized tomography scans. In this article, we report a case of spontaneous rectus sheath hematoma presenting with acute abdominal pain associated with a palpable abdominal wall mass. Furthermore, diagnosis, classification, and management of rectus sheath hematoma in the emergency room are discussed.
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