title: Exercise-induced bilateral rectus sheath hematomas presenting as acute abdominal pain with scrotal swelling and pressure: case report and review.
abstract: Rectus sheath hematoma (RSH) is an uncommon but significant cause of acute abdominal pain in patients presenting to the Emergency Department. RSHs are often misdiagnosed as other more common causes of abdominal pain. This case describes a 23-year-old male presenting with acute abdominal pain, scrotal swelling, and associated scrotal pressure. The case highlights the uniqueness of this particular presentation and the clinical features, risk factors, diagnosis, and treatment of RSH.
authors.affiliation: Department of Emergency Medicine, Naval Medical Center San Diego, San Diego, California 92134-1005, USA.
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Auten
authors.forename: Joel M
authors.initials: JM
authors.lastname: Schofer
authors.forename: Steven L
authors.initials: SL
authors.lastname: Banks
authors.forename: Timothy B
authors.initials: TB
authors.lastname: Rooney
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D004487:Edema / Q000209:etiology; D006406:Hematoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007264:Inguinal Canal / Q000000981:diagnostic imaging*; D008297:Male; D011312:Pressure; D017568:Rectus Abdominis / Q000000981:diagnostic imaging* / Q000293:injuries*; D055070:Resistance Training / Q000009:adverse effects; D012611:Scrotum / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D055815:Young Adult