Exercise-induced bilateral rectus sheath hematomas presenting as acute abdominal pain with scrotal swelling and pressure: case report and review.
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.
Auten
Jonathan D
JD
Department of Emergency Medicine, Naval Medical Center San Diego, San Diego, California 92134-1005, USA.
Schofer
Joel M
JM
Banks
Steven L
SL
Rooney
Timothy B
TB
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