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Query: UMLS:C0740577 (acute abdominal pain)
 1,982 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A rectus abdominis sheath hematoma (RSH) is uncommon. It may mimic other acute abdominal disorders. The underlying conditions are trauma, coagulation disorders, or anticoagulant therapy, complications related to operations, subcutaneous injections to the abdominal wall, although it can also develop spontaneously. Acute abdominal pain and a palpable mass after muscular strain such as coughing, sneezing, and twisting were features highly suggestive of RSH. The diagnostic means of choice is computerized tomography. The treatment is usually conservative, but surgery may be needed in cases with large or progressing hematomas or with severe symptoms. We herein report an elderly woman presenting with an acute painful abdominal mass, without any underlying conditions, which was diagnosed as spontaneous RSH. She needed an operation. We concluded that RSH should be considered in the differential diagnosis of acute abdominal pain in the elderly, even in the absence of underlying conditions.
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PMID:Spontaneous hematoma of the rectus abdominis muscle: a rare cause of acute abdominal pain in the elderly. 1291 74

The development of an acute abdominal pain and of a palpable mass following a muscular strain, such as after coughing or sneezing, are features higly suggestive of an abdominal wall hematoma in the patient with predisposing factors. The diagnosis is often difficult since the condition mimics the clinical features of other abdominal pathologies. The diagnostic accuracy has significantly improved however after the advent of ultrasonogarphy and of computed tomography. Once the diagnosis is confirmed, the patient should be treated conservatively since surgery entails the risk of various complications.
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PMID:[Clinical case of the month. Computerized tomographic diagnosis of hematoma of the rectus abdominis muscle]. 1806 71

Spontaneous rectus sheath hematoma (SRSH) is an uncommon cause of acute abdominal pain characterized by bleeding within the rectus sheath; it is a benign condition and, in most cases, it is treated conservatively. Bleeding of the abdominal wall is an unusual condition that is quite challenging to identify promptly and can be easily overlooked during a routine physical examination. In daily practice, anticoagulant therapy is one of the main risk factors for hemorrhagic events. In this respect, we report a rare case of spontaneous hematoma of the abdominal wall (diagnosed and monitored through an ultrasound examination) that arose after sneezing in a patient receiving anticoagulant treatment.
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PMID:Sonographic demonstration of a spontaneous rectus sheath hematoma following a sneeze: a case report and review of the literature. 3262 Nov 22