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Rectus sheath haematoma requiring laparotomy
Author(s) -
Ma WaiKit,
Fung Terence MingKit,
Lam YukHoi,
Lau James YunWong
Publication year - 2006
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/j.1744-1633.2006.00287.x
Subject(s) - medicine , rectus sheath , radiological weapon , surgery , laparotomy , abdomen , general surgery , abdominal wall
Rectus sheath haematoma is a well‐documented but unusual cause of acute abdomen. Combination of clinical features and appropriate radiological investigations can make for a prompt diagnosis. Most authors advocate conservative management and it has been reported that patients were directly discharged from the emergency department. We report a case of rectus sheath haematoma which progressed with clinical deterioration and necessitated surgical intervention for clot evacuation. Causes, physical signs, radiological features and classification of rectus sheath haematoma are discussed. It may be necessary to continue close clinical monitoring after diagnosis of rectus sheath haematoma.