Cirugía y Cirujanos

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Cirugía y Cirujanos >Year 2010, Issue 6

Villena-Tovar JF
Rectus sheath hematoma of the abdomen. Case report
Cir Cir 2010; 78 (6)

Language: Español
References: 11
Page: 543-545
PDF: 329.94 Kb.

Full text


Background: Rectus sheath hematoma in the vast number of cases is due to an inferior epigastric artery tear occasionally due to trauma (not considered serious) or alterations in coagulation or use of anticoagulant therapy. It is an unlikely and difficult to diagnose pathology.
Clinical case: We present the case of a 61-year-old female patient. The patient presented in emergency service with sudden abdominal pain caused by coughing as a result of an upper respiratory tract infection. The culmination was a spontaneous rectus sheath hematoma.
Conclusions: Rectus sheath hematoma is a diagnosis to consider in a previously asymptomatic patient who presents with clinical features of acute pain and appearance of increase of volume in the abdominal wall involving the rectus muscles.

Key words: Hematoma, rectus sheath, epigastric artery.


  1. Cerdán P, Paternal S, Guillén M, Catín B, Bernal J, Esarte J. Hematomas espontáneos de la pared abdominal. Rev Chil Cir 2007;59:5-9.

  2. Yustin M, Lado F, Pérez M, Rodríguez L, Rodríguez IL. Hematoma de la pared abdominal como complicación del uso de heparina de bajo peso molecular. An Med Int 2003;20:59-60.

  3. Vidal A, López M, Medina C, García R, Torres M. Shock hipovolémico intraoperatorio consecuencia de un hematoma de la vaina de los rectos. Rev Esp Anest Rea 2005;52:496-498.

  4. Pelayo A, Garcés MC, Casals R, Pérez L, Hematoma espontáneo bilateral de la vaina de los rectos. Cir Esp 2006;67:310-311.

  5. Verhagen J, Tolenaar L, Sybrandy R. Haematoma of the rectus abdominis muscle. Eur J Surg 1993;159:335-338.

  6. Rosell P, Guerrero F, Vara TR. Hematoma del músculo recto abdominal como falso abdomen agudo. Rev Esp Enf Ap Digest 1988;74:385-387.

  7. Cherry WB, Muller SP. Rectus sheath hematoma. Review of 126 cases at a single institution. Medicine 2006;85:105-110.

  8. Zainea G, Jordán F. Rectus sheath hematoma: their pathogenesis, diagnosis, and managament. Am Surg 1998;54:630-633.

  9. Ma WK, Fung TMK, Lam YH, Lau JYW. Rectus sheath haematoma requiring laparotomy. Surg Pract 2006;10:45-46.

  10. Addeonighaghe O, Khademi A, Korowe M, Gualtieri N. Spontaneous rectus sheath hematoma and an anterior pelvic hematoma as a complication of coagulation. AJG 2000;95:314-315.

  11. Maharaj D, Ramdass M, Teelucksingh S, Perry A, Naraynsingh V. Rectus sheath haematoma: a new set of diagnostic features. Postgrad Med J 2002;78:755-756.

>Journals >Cirugía y Cirujanos >Year 2010, Issue 6

· Journal Index 
· Links 

Copyright 2019