Rectus sheath hematoma: a series of unfortunate events.
BACKGROUND
Rectus sheath hematoma is rare. It can present to physicians in many specialties, but invariably the surgeon is contacted regarding management. It is frequently difficult to diagnose, which can result in delay of treatment or unnecessary surgery. Its incidence is on the rise.


METHODS
We present a series of four cases of rectus sheath hematoma that presented to our hospital within a 5-month period. A comprehensive up-to-date review of the literature was undertaken.


RESULTS
Our research highlights the diagnostic dilemmas, the spectrum of severity (all three grades are represented), the complications, and the need for interdisciplinary awareness.


CONCLUSIONS
Rectus sheath hematoma is a rare but important entity in the differential diagnosis of abdominal pain. Interdisciplinary awareness of this condition is essential, as it is frequently difficult to diagnose, leading to delay in treatment or unneeded surgery. Grade 3 hematomas can lead to abdominal compartment syndrome and can be fatal.
Luhmann
Andreas
A
Royal Glamorgan Hospital, Ynys Maerdy, Llantrisant, CF72 8XR, UK. andreasluhmann@excite.com
Williams
Eiffon Vaughn
EV
D034861:Abdominal Wall; D000368:Aged; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D011859:Radiography