Rectus sheath hematoma

Rectus sheath hematoma

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eMedicineSubj = emerg
eMedicineTopic = 943
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A rectus sheath hematoma is an accumulation of blood in the sheath of the rectus abdominis muscle. It causes abdominal pain with or without a mass.

The hematoma may be caused by either rupture of one of the epigastric arteries or by a muscular tear. Causes of this include anticoagulation, coughing, pregnancy, abdominal surgery and trauma.

On abdominal examination, these patients may have a positive Carnett's sign.

Most hematomas resolve without treatment, but they may take several months to resolve.


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