eMedicine Specialties > Emergency Medicine > Gastrointestinal

Rectus Sheath Hematoma: Multimedia

Author: Wan-Tsu Chang, MD, Staff Physician, Department of Emergency Medicine, University of Cincinnati
Coauthor(s): William A Knight IV, MD, Assistant Professor, Department of Emergency Medicine, University of Cincinnati School of Medicine; Steven G Werdehoff, MD, Consulting Staff, Department of Emergency Medicine, Huntsville Emergency Physicians Group; Andra L Blomkalns, MD, Associate Professor, Vice Chair - Academic Affairs, Department of Emergency Medicine, University of Cincinnati School of Medicine
Contributor Information and Disclosures

Updated: Jul 1, 2009

Multimedia

Anatomy of the rectus sheath.
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Media file 1: Anatomy of the rectus sheath.
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Anatomy of the rectus sheath.

Anatomy of the rectus sheath.

The Cullen sign, periumbilical ecchymosis, in a p...
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Media file 2: The Cullen sign, periumbilical ecchymosis, in a patient with a rectus sheath hematoma.
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The Cullen sign, periumbilical ecchymosis, in a p...

The Cullen sign, periumbilical ecchymosis, in a patient with a rectus sheath hematoma.

Rectus sheath hematoma of the right rectus muscle...
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Media file 3: Rectus sheath hematoma of the right rectus muscle (same patient as in Image 4). Image courtesy of Dr David Gordon.
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Rectus sheath hematoma of the right rectus muscle...

Rectus sheath hematoma of the right rectus muscle (same patient as in Image 4). Image courtesy of Dr David Gordon.

Note how the rectus sheath hematoma becomes bilob...
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Media file 4: Note how the rectus sheath hematoma becomes bilobar as it dissects inferiorly (same patient as in Image 3). Image courtesy of Dr David Gordon.
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Note how the rectus sheath hematoma becomes bilob...

Note how the rectus sheath hematoma becomes bilobar as it dissects inferiorly (same patient as in Image 3). Image courtesy of Dr David Gordon.

Ultrasound image of a rectus sheath hematoma pres...
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Media file 5: Ultrasound image of a rectus sheath hematoma presenting as a tender, unilateral abdominal mass. D Maharaj, M Ramdass, S Teelucksingh, A Perry and V Naraynsingh Rectus sheath haematoma: a new set of diagnostic features. Postgraduate Medical Journal 2002;78:755-756. Reproduced with permission from the BMJ Publishing Group.
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Ultrasound image of a rectus sheath hematoma pres...

Ultrasound image of a rectus sheath hematoma presenting as a tender, unilateral abdominal mass. D Maharaj, M Ramdass, S Teelucksingh, A Perry and V Naraynsingh Rectus sheath haematoma: a new set of diagnostic features. Postgraduate Medical Journal 2002;78:755-756. Reproduced with permission from the BMJ Publishing Group.

More on Rectus Sheath Hematoma

Overview: Rectus Sheath Hematoma
Differential Diagnoses & Workup: Rectus Sheath Hematoma
Treatment & Medication: Rectus Sheath Hematoma
Follow-up: Rectus Sheath Hematoma
Multimedia: Rectus Sheath Hematoma
References
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References

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Further Reading

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Keywords

rectus sheath hematoma, abdominal wall hematoma, epigastric artery rupture, rectus muscle, rectus muscle tear, rectus sheath hematoma symptoms, rectus sheath hematoma treatment, rectus sheath hematoma, causes, pelvic pseudotumor, RSH, abdominal pain, hypovolemic shock, hematoma, anticoagulation 

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Contributor Information and Disclosures

Author

Wan-Tsu Chang, MD, Staff Physician, Department of Emergency Medicine, University of Cincinnati
Wan-Tsu Chang, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, Emergency Medicine Residents Association, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

William A Knight IV, MD, Assistant Professor, Department of Emergency Medicine, University of Cincinnati School of Medicine
William A Knight IV, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Emergency Physicians, Emergency Medicine Residents Association, Society for Academic Emergency Medicine, and Society of Critical Care Medicine
Disclosure: Nothing to disclose.

Steven G Werdehoff, MD, Consulting Staff, Department of Emergency Medicine, Huntsville Emergency Physicians Group
Steven G Werdehoff, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Emergency Physicians, Emergency Medicine Residents Association, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Andra L Blomkalns, MD, Associate Professor, Vice Chair - Academic Affairs, Department of Emergency Medicine, University of Cincinnati School of Medicine
Andra L Blomkalns, MD is a member of the following medical societies: American College of Emergency Physicians, American Heart Association, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Medical Editor

Jerry Balentine, DO, Professor of Emergency Medicine, New York College of Osteopathic Medicine; Executive Vice President, Chief Medical Officer, Attending Physician in Department of Emergency Medicine, St. Barnabas Hospital
Jerry Balentine, DO is a member of the following medical societies: American College of Emergency Physicians, American College of Osteopathic Emergency Physicians, American College of Physician Executives, American Osteopathic Association, and New York Academy of Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Fred Harchelroad, MD, FACMT, FAAEM, FACEP, Chair, Department of Emergency Medicine, Director of Medical Toxicology - Allegheny General Hospital, Associate Professor, Department of Emergency Medicine, Drexel University College of Medicine
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Steven C Dronen, MD, FAAEM, Director of Emergency Services, Director of Chest Pain Center, Department of Emergency Medicine, Ft Sanders Sevier Medical Center
Steven C Dronen, MD, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

 
 
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