[Urological symptoms due to rectus sheath haematoma].
Two men presented at the Accident & Emergency Department with lower urinary tract symptoms. The first patient was a 76-year-old male with reddish urine and lower abdominal pain. A CT-scan revealed a tumorous mass related to the bladder. The second patient was a 61-year-old male with dysuria and lower abdominal pain. In both patients the complaints were due to a rectus sheath haematoma. Rectus sheath haematoma is a rare condition caused by damage of the epigastric vessels or a rupture of the rectus abdominis muscle. Voiding problems can arise when the haematoma extends into the prevesical (Retzius) space that is anatomically related to the rectus sheath. A haematoma of the rectus sheath is difficult to diagnose. Current insights show that conservative treatment is generally sufficient.
Duijvesz
Diederick
D
Erasmus MC, afd. Urologie, Rotterdam, The Netherlands.
Hoekstra
Robert J
RJ
Bosch
J L H Ruud
JL
D000368:Aged; D053159:Dysuria / Q000209:etiology; D006406:Hematoma / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000150:complications / Q000175:diagnosis*; D017568:Rectus Abdominis / Q000098:blood supply*