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Spontaneous rectus sheath hematoma diagnosed by point-of-care ultrasonography

  • Hamid Shokoohi (a1), Keith Boniface (a1), M. Reza Taheri (a2) and Ali Pourmand (a1)

Abstract

Spontaneous rectus sheath hematoma is an uncommon condition that can mimic other conditions associated with an acute abdomen. We report the case of a patient with a spontaneous rectus sheath hematoma due to a ruptured inferior epigastric artery pseudoaneurysm who presented with hypotension and severe abdominal pain and was diagnosed using emergency department point-of-care ultrasonography. Point-of-care ultrasonography has been increasingly used in the evaluation of emergency department patients with acute abdomen and hypotension to expedite the diagnosis and management of aortic aneurysm and intraperitoneal bleeding. Resuscitation and urgent surgical and interventional radiology consultations resulted in the successful embolization of a branch of the inferior epigastric artery and a good outcome.

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Copyright

Corresponding author

Department of Emergency Medicine, George Washington University Medical Center, 2150 Pennsylvania Avenue, NW, Suite 2B, Washington, DC 20037; hshokoohi@mfa.gwu.edu, hshokoohi@gmail.com

References

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Spontaneous rectus sheath hematoma diagnosed by point-of-care ultrasonography

  • Hamid Shokoohi (a1), Keith Boniface (a1), M. Reza Taheri (a2) and Ali Pourmand (a1)

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