Acute Anemia and Abdominal Tumor Due to Hemorrhage in Rectus Abdominis Sheath Following Anticoagulant Therapy

Arch Intern Med. 1966;117(1):103-107. doi:10.1001/archinte.1966.03870070117018.
Text Size: A A A
Published online

DEEP EPIGASTRIC artery hemorrhage, with and without rupture of the rectus abdominis muscle, was known to the Greeks in the 5th Century BC and Hippocrates1 made some of the first accurate descriptions of the disorder. Galen2 also wrote on the subject, as did Leonardo da Vinci, who reviewed the condition up to the year 1519. The first case in American literature was probably reported by Richardson3 in 1857. One of the more important papers on lesions of the rectus abdominis muscle was that by Cullen and Brodel4 whose classic paper on the subject, written in 1937, included excellent anatomic descriptions of this muscle. They also attempted to correlate anatomic factors with possible pathophysiologic mechanisms responsible for rectus muscle rupture, with or without epigastric artery hemorrhage. In 1938, Payne5 analyzed 165 cases reported in the literature, and in 1956, Furste6 added 85 additional cases. By


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.