What is a rectus hematoma?
Rectus sheath hematoma is an uncommon cause of acute abdominal pain. It is an accumulation of blood in the sheath of the rectus abdominis, secondary to rupture of an epigastric vessel or muscle tear. It could occur spontaneously or after trauma.
What causes a rectus hematoma?
Rectus sheath hematomas (RSHs) are generally caused either by rupture of one of the epigastric arteries or by a muscular tear with shearing of a small vessel.
What are the symptoms of a rectus sheath hematoma?
The typical presentation of a rectus sheath hematoma is abdominal pain and its associated symptoms like nausea and vomiting. The pain is often sudden in onset, sharp, and does not radiate. In extremely rare cases, the hematoma may be large and present with hypovolemia, tachycardia, and tachypnea.
What causes abdominal hematoma?
Abdominal wall hematomas are an uncommon cause of acute abdominal pain and are often misdiagnosed. They result from rupture of the epigastric vessels or the deep circumflex iliac artery (rarely), or from tears of the fibers of the rectus abdominis or lateral oblique muscles [1,2].
Where is the rectus muscle?
abdomen
Rectus abdominis: This pair of muscles goes down the middle of your abdomen from your ribs to the front of your pelvis. The muscles hold your internal organs in place and keep your body stable during movement.
How common is rectus sheath hematoma?
Rectus sheath hematoma is a relatively uncommon entity that is most often associated with abdominal wall trauma or anticoagulation.
How do you treat rectus sheath hematoma?
Conservative treatment of rectus sheath hematoma includes rest; analgesics; hematoma compression; ice packs; treatment of predisposing conditions; and if necessary, more aggressive therapies of intravenous fluid resuscitation, reversal of anticoagulation, and transfusion.
Where is the rectus sheath located?
It covers the anterior and posterior surfaces of the upper three-quarters of the rectus abdominis muscle, and the lower quarter of its anterior surface.
What is subchorionic hematoma in early pregnancy?
A subchorionic hematoma or hemorrhage is bleeding under one of the membranes (chorion) that surrounds the embryo inside the uterus. It is a common cause of bleeding in early pregnancy. The main symptom is vaginal bleeding.
Why is it called rectus?
In Latin, rectus means straight and abdominis means abdominal. Therefore, rectus abdominis simply means straight abdominal, a term which references the structure of this paired muscle.
What means rectus?
straight muscles
Definition of rectus : any of several straight muscles (as of the abdomen)
How long does it take for rectus sheath hematoma to heal?
The majority of patients recover well with no complications as the hematoma is reabsorbed in 2 to 3 months. [6] In those with an indication for therapeutic anticoagulation, patients should be counseled on the risk for recurrence with the resumption of therapy.
How long does it take for a pelvic hematoma to go away?
The swelling and pain of the hematoma will go away. This takes from 1 to 4 weeks, depending on the size of the hematoma. The skin over the hematoma may turn bluish then brown and yellow as the blood is dissolved and absorbed. Usually, this only takes a couple of weeks but can last months.
What is the rectus?
The Rectus Abdominis makes up the top layer of your abdominal muscles, commonly referred to as your “six-pack.” It is two flat and parallel muscles separated by linea alba (a connective tissue).
How is rectus sheath hematoma treated?
Is subchorionic hematoma high risk?
Conclusion. Ultrasonographically detected subchorionic hematoma increases the risk of miscarriage in patients with vaginal bleeding and threatened abortion during the first 20 weeks of gestation. However, it does not affect the pregnancy outcome measures of ongoing pregnancies.
What does rectus mean?
Definition of rectus : any of several straight muscles (as of the abdomen)