Spontaneous Rectus Sheath Hematoma Mimicking a Pelvic Mass with Complication: A Case Report

Abstract

A 53 years old woman presented with acute abdominal pain with a large and tense abdominopelvic mass, and hypovolemic shock without peritoneal signs. An ultrasonogram and a CT scan of lower abdomen demonstrated a large heteroechoic mass in the left side of the pelvis. Exploratory laparotomy revealed a concealed hematoma beneath the left rectal sheath occupying the left obturator fossa. The final diagnosis was spontaneous rectus sheath hematoma with retroperitoneal extension.

Keywords

• Rectus sheath Hematoma
• Abdominal wall hematoma