tailieunhanh - Báo cáo y học: " Rectus sheath haematoma or leaking aortic aneurysm - a diagnostic challenge: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: T Rectus sheath haematoma or leaking aortic aneurysm - a diagnostic challenge: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Rectus sheath haematoma or leaking aortic aneurysm - a diagnostic challenge a case report Aidan G Shaw 1 Simon Fleming2 Polly Drew2 Jonathan N Lund1 and Manjeet Riyat3 Address 1School of Graduate Medicine and Health University of Nottingham Derby DE22 3DT UK 2Department of Surgery Derby City General Hospital Derby DE22 3NE UK and 3Department of Emergency Medicine Derbyshire Royal Infirmary Derby DE1 2QY UK Email Aidan G Shaw - drshaw@ Simon Fleming - Polly Drew - Jonathan N Lund - Manjeet Riyat - Corresponding author Published 3 November 2009 Received 8 January 2009 _ A . . r-n -mno - .0-7 I loimri lam m Accepted 3 November 2009 Journal of Medical Case Reports 2009 3 97 doi 1752-1947-3-97 This article is available from http content 3 1 97 2009 Shaw et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction A rectus sheath haematoma is a rare condition that arises from the accumulation of blood within the rectus sheath from either muscular tear or rupture of the epigastric vessels. It is a known complication of either blunt abdominal trauma anticoagulation therapy or the repetitive contraction of the rectus muscle such as paroxysms of coughing. It remains an uncommon and elusive entity and is often clinically misdiagnosed. Case presentation An 80-year-old British man with a known aortic aneurysm was admitted with sudden onset of right iliac fossa pain. The patient was hemodynamically stable and underwent a computed tomography scan which revealed an intact aorta and an acute .