title: [Hematoma of the rectal sheath: clinical report of experiences with special reference to ultrasound diagnosis].
abstract: Rectus sheath hematomas are rare sequelae of direct or indirect trauma to the abdominal wall, with or without muscle rupture or laceration of epigastric vessels. "Spontaneous" hemorrhage may occur in patients receiving anticoagulant therapy. The diagnosis remains frequently unrecognized prior to ill advised laparotomies performed for suspected abdominal emergencies. Nine patients suffering from rectus sheath hematoma are reported, typical etiological factors, clinical and radiological findings and diagnostic difficulties outlined. Ultrasonography has proven to be the procedure of choice, yielding immediate diagnosis and trend observation.
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004630:Emergencies; D005260:Female; D006406:Hematoma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis; D012002:Rectal Diseases / Q000175:diagnosis* / Q000601:surgery; D014463:Ultrasonography
vernacular_title: Das Rectusscheidenhämatom: Klinischer Erfahrungsbericht unter besonderer Berücksichtigung der Ultraschalldiagnostik.