0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Rectus Sheath Hematoma: Diagnosis by Computed Tomography

J. R. Young, MD; Michael Cressman, DO; Patrick J. O'Hara, MD
Arch Intern Med. 1981;141(6):820. doi:10.1001/archinte.1981.00340060128044.
Text Size: A A A
Published online

To the Editor.  —Hemorrhage within the rectus sheath is an uncommon entity. Awareness of this disorder is important, as its development may simulate an acute intra-abdominal catastrophe. A rapid, noninvasive method of diagnosis is necessary to prevent unnecessary surgery and to institute appropriate therapy. Currently, ultrasonography is considered to be the best method to diagnose rectus sheath hematoma.1 Our purpose is to illustrate the value of computed tomography (CT) as an alternative to ultrasonography in diagnosing this condition.

Report of a Case.  —A 78-year-old woman experienced severe left-sided upper quadrant abdominal pain during heparin sodium therapy for a deep venous thrombosis. A tender, pulsatile mass was palpated in the left upper quadrant in both the supine and sitting positions. Hematoma of the rectus sheath and expansion of the abdominal aortic aneurysm were diagnosed as possible disorders. A CT scan of the abdomen was obtained because the hospital's ultrasound equipment

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
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.
Submit a Comment

Multimedia

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

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

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

Jobs
brightcove.createExperiences();