Surgery>>>>>Abdominal Wall, Omentum, Mesentery, and Retroperitoneum
Question 4#

The usual presentation of a rectus sheath hematoma is:

A. Unexplained anemia
B. Abdominal wall bulge
C. Sudden abdominal pain
D. Inability to stand erect

Correct Answer is C


Hemorrhage from the network of collateralizing vessels within the rectus sheath and muscles can result in a rectus sheath hematoma. Although a history of trauma may be present, a rectus sheath hematoma can follow vigorous coughing, sneezing, or extreme exertion. It typically occurs in elderly patients or those on anticoagulant therapy. Patients usually report the sudden onset of unilateral abdominal pain and have localized tenderness which is not accompanied by peritoneal signs.