Anatolian Journal of Emergency Medicine

Yazarlar: Murat BALCIOĞLU, Hatice Şeyma AKÇA, Serdar ÖZDEMİR, Serkan Emre EROĞLU

Konular:Tıp

Anahtar Kelimeler:Computed tomography,Rectus sheath hematoma,Emergency,Acute abdomen

Özet: Aim: Acute abdominal pain is one of the common reasons for emergency room admissions. Although rectus sheath hematoma is rare, it can be mistakenly diagnosed as an acute abdomen. This study, it is aimed to present a case of type 1 rectus sheath hematoma, which is thought to have occurred after straining with excessive defecation due to diarrhea. Case Report: A 30-year-old male patient was admitted to the emergency department with severe abdominal pain, diarrhea, and a palpable mass in the abdomen. On physical examination, there was a palpable mass in the right lower quadrant of the abdomen, severe tenderness on palpation, rebound, and defense. While the blood tests of the patient, who did not have a known disease, drug use, and trauma history, were within normal limits, ultrasonography revealed a hematoma with a thickness of 2-2.5 cm in the widest part of the posterior rectus muscle. Control blood tests were also found to be normal. Computed tomography of the abdomen revealed unilateral, intramuscular hematoma without facial invasion. The patient, who was also seen by general surgery, was discharged with the recommendation of outpatient clinic control. Conclusion: Rectus sheath hematoma is a diagnosis that should be considered in the differential diagnosis in patients admitted to the emergency department with abdominal pain. Although it is rare, it should be kept in mind that it may be associated with frequent defecation episodes due to diarrhea, as in this case, for example, Early intervention is often the most important factor in preventing mortality in some patients with serious comorbidities. The cases mostly respond positively to conservative treatment for etiology.

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