Rectus sheath haematoma

Images Genevieve Carbonatto

A  65 year old man with liver failure and ascites  presents with severe acute right upper quadrant abdominal pain. Ultrasound examination over the area of tenderness reveals a heterogeneous  area in the rectus abdominal muscle – Rectus sheath haematoma

snapshot64

The rectus sheath haematoma is the area of mixed echogenicity in the rectus muscle

snapshot70

 

 

 

 

 

 

 

 

 

 

 

Initially, because the pain was in his RUQ, the gallbladder was examined for the possibility of  gallstones. The haematoma is seen in this view

Scan along the haematoma

Leave a Reply

Your email address will not be published.