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