Giant rectus sheath hematoma

The Ultrasound Journal

Pablo Blanco¹  Gabriela Bello² 

[1] Intensive Care Unit, Clínica Cruz Azul;Intensive Care Unit, Hospital Central de las Fuerzas Armadas (DNSFFAA);

关键词: Rectus abdominis;    Hematoma;    Point of care;    Ultrasound;    Computed tomography;    Critical care;   

DOI  :  10.1186/s13089-019-0129-4

来源: DOAJ

【 摘 要 】

Abstract Background Rectus sheath hematoma (RSH) is an uncommon entity associated with predisposing factors such as anticoagulation. It may mimic more frequent abdominal conditions and its accurate diagnosis is important to focus on the correct treatments and improve morbidity and mortality. Case presentation An elderly patient with shock, abdominal pain, palpable abdominal mass, and anemia was suspected of having a large RSH by point-of-care ultrasound (POCUS), which was then confirmed by computed tomography. Surgery was performed, markedly improving his clinical status. Conclusions POCUS has a good sensitivity for the diagnosis of RSH and it is also an excellent tool for patient follow-up.

【 授权许可】

Unknown