tailieunhanh - Báo cáo khoa hoc:" Rectus sheath hematoma: three case reports"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Rectus sheath hematoma: three case reports | Journal of Medical Case Reports BioMed Central Case report Rectus sheath hematoma three case reports Selin Kapan Ahmet N Turhan Halil Alis Mustafa U Kalayci Sinan Hatipoglu Hakan Yigitbas and Ersan Aygun Open Access Address Bakirkoy Dr. Sadi Konuk Training and Research Hospital Department of General Surgery Istanbul Turkey Email Selin Kapan - selinkapan@ Ahmet N Turhan - ahmetnturhan@ Halil Alis - halilalis@ Mustafa U Kalayci - mukalayci@ Sinan Hatipoglu - sinanhatipoglu@ Hakan Yigitbas - drhakanyigitbas@ Ersan Aygun - ersanaygun@ Corresponding author Published 25 January 2008 Received 15 July 2007 Journal of Medical Case Reports 2008 2 22 doi 1752-1947-2-22 Accepted 25 January 2008 This article is available from http content 2 1 22 2008 Kapan 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 Rectus sheath hematoma is an uncommon cause of acute abdominal pain. It is an accumulation of blood in the sheath of the rectus abdominis secondary to rupture of an epigastric vessel or muscle tear. It could occur spontaneously or after trauma. They are usually located infraumblically and often misdiagnosed as acute abdomen inflammatory diseases or tumours of the abdomen. Case presentation We reported three cases of rectus sheath hematoma presenting with a mass in the abdomen and diagnosed by computerized tomography. The patients recovered uneventfully after bed rest intravenous fluid replacement blood transfusion and analgesic treatment. Conclusion Rectus sheath hematoma is a rarely seen pathology often misdiagnosed as acute abdomen that may lead to unnecessary laparotomies. Computerized tomography must be .