[Errors in the diagnosis of ruptures of the straight muscle of the abdomen].
Based on study of the clinical picture of ruptures of straight abdominal muslces in 9 patients, it is considered that this pathology is considered to occur in males as frequently as in females, a spontaneous rupture being observed more frequently in females over 40 years of age, who had multiple deliveries previously and show arterial hypertension. The man signs of spontaneous or traumatic rupture of straight muscles are as follows: a sudden onset of pains conditioned by hematoma, pressure on the parietal peritoneum, in palpation a detection of tumor in the tumor in the region of m. rectus abdomins that would not disappear in abdominal tension; and also intensification of pains in the hematoma region in elevating the head in a supine position. As a rule, the body temperature is normal, but the leucocyte count may be somewhat increased. Usually, such patients are treated conservatively. Surgical intervention seems to be indicated only in organization of hematoma or its suppuration.
D000006:Abdomen, Acute / Q000175:diagnosis*; D000009:Abdominal Muscles; D000328:Adult; D001064:Appendicitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology; D006555:Hernia, Ventral / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000150:complications
Oshibki v diagnostike razryvov priamykh myshts zhivota