Abdominal Imaging

, Volume 21, Issue 1, pp 62–64

Rectus sheath hematoma: diagnostic classification by CT

  • J. D.  Berná
  • V.  Garcia-Medina
  • J.  Guirao
  • J.  Garcia-Medina

DOI: 10.1007/s002619900011

Cite this article as:
Berná, J., Garcia-Medina, V., Guirao, J. et al. Abdom Imaging (1996) 21: 62. doi:10.1007/s002619900011

Abstract.

A method of classification for hematomas of the rectus abdominis sheath (RSH) is proposed based on findings observed in CT in the 13 cases of RSH in the present study. Type I hematomas (five cases) are slight and do not require hospitalization. Type II (three cases) and type III (five cases) are moderate and severe hematomas, respectively, and do require hospitalization. The patients with type III hematomas were all undergoing anticoagulant therapy and presented with a picture of acute abdomen, and in all five cases blood transfusion was carried out. Ultrasonography and, in particular, CT permitted a correct diagnosis of RSH. RSH should be considered (anticoagulant therapy induced) in females with sudden abdominal pain to avoid unnecessary surgical intervention.

Key words: Abdomen<+>—<+>Computed tomography<+>—<+>Ultrasonography<+>—<+>Rectus sheath hematoma.

Copyright information

© Springer-Verlag New York Inc. 1996

Authors and Affiliations

  • J. D.  Berná
    • 1
  • V.  Garcia-Medina
    • 1
  • J.  Guirao
    • 1
  • J.  Garcia-Medina
    • 1
  1. 1.Departamento de Radiología del Hospital General Universitario de Murcia, 30001 Murcia, SpainES