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


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

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