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Spontaneous rectus sheath hematoma diagnosed by point-of-care ultrasonography

Published online by Cambridge University Press:  04 March 2015

Hamid Shokoohi ,
Keith Boniface ,
M. Reza Taheri  and
Ali Pourmand
Hamid Shokoohi*
Affiliation:
Department of Emergency Medicine, George Washington University Medical Center, Washington, DC
Keith Boniface
Affiliation:
Department of Emergency Medicine, George Washington University Medical Center, Washington, DC
M. Reza Taheri
Affiliation:
Department of Radiology, George Washington University Medical Center, Washington, DC
Ali Pourmand
Affiliation:
Department of Emergency Medicine, George Washington University Medical Center, Washington, DC
*
Department of Emergency Medicine, George Washington University Medical Center, 2150 Pennsylvania Avenue, NW, Suite 2B, Washington, DC 20037; hshokoohi@mfa.gwu.edu, hshokoohi@gmail.com

Abstract

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Spontaneous rectus sheath hematoma is an uncommon condition that can mimic other conditions associated with an acute abdomen. We report the case of a patient with a spontaneous rectus sheath hematoma due to a ruptured inferior epigastric artery pseudoaneurysm who presented with hypotension and severe abdominal pain and was diagnosed using emergency department point-of-care ultrasonography. Point-of-care ultrasonography has been increasingly used in the evaluation of emergency department patients with acute abdomen and hypotension to expedite the diagnosis and management of aortic aneurysm and intraperitoneal bleeding. Resuscitation and urgent surgical and interventional radiology consultations resulted in the successful embolization of a branch of the inferior epigastric artery and a good outcome.

Keywords

inferior epigastric artery rupturerectus sheath hematomaultrasonography
Type
Case Report • Rapport de cas
Information
Canadian Journal of Emergency Medicine , Volume 15 , Issue 2 , March 2012 , pp. 120 - 123
Copyright
Copyright © Canadian Association of Emergency Physicians 2013

References

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