[Spontaneous hematoma of the rectus sheath during pregnancy: a case report].
A case of spontaneous rectus sheath hematoma is reported in a 32-year-old multigravida transferred to our antepartum unit for premature labor and persistent cough related to Candida dubliniensis upper airway infection. In pregnant patients presenting sudden-onset severe abdominal pain and parietal tenderness, there are two main differential diagnoses: abruptio placentae and aseptic necrobiosis of a uterine leiomyoma. The correct diagnosis may be obtained by ultrasonography and sometimes by computed tomography. In the present case an emergency cesarean section was performed at 35 weeks gestation after a 40% decrease in maternal hemoglobin and onset of fetal heart rate anomalies.
Boog
G
G
Service d'Obstétrique et de Médecine Foetale, Pavillon Mère et Enfant, CHU de Nantes, quai Moncousu, 44093 Nantes Cedex.
Winer
N
N
Le Vaillant
C
C
Dubreil
C
C
Faysse
A
A
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D009135:Muscular Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000000981:diagnostic imaging* / Q000601:surgery; D017568:Rectus Abdominis / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal