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The hematoma may be caused by either rupture of the epigastric artery or by a muscular tear. Several factors have been identified as predisposing risks for rectus sheath hematoma, including coughing, straining, exercise, hypertension, obesity, previous abdominal surgery, subcutaneous injection, trauma and anticoagulant therapy.
Clinically the patient may be aware of a popping or clicking sensation as the ribs move relative to one another. The symptoms can be reproduced by the "hooking maneuver", in which the examiner will hook their fingers under the costal margin and pull upwards. [8] [9] Spontaneous rectus sheath hematoma arises from rupture of the epigastric vessels.
If a mass in the abdominal wall does not cross midline and does not change with flexion of the rectus muscles, this is a positive sign for a rectus sheath hematoma. It is named for English obstetrician William Edward Fothergill , who described features of rectus sheath hematomas in a 1926 article in the British Medical Journal entitled ...
A rectus sheath hematoma is an accumulation of blood in the sheath of the rectus abdominis muscle. It causes abdominal pain with or without a mass. The hematoma may be caused by either rupture of the epigastric artery or by a muscular tear. Causes of this include anticoagulation, coughing, pregnancy, abdominal surgery and trauma. With an ageing ...
rectus sheath hematoma: anterior abdominal mass which does not cross the midline and is still palpable when abdominal wall muscles are tensed Fox's sign: George Henry Fox: gastroenterology: haemorrhagic pancreatitis: ecchymosis of inguinal ligament (blood tracks retroperitoneally) Frank's sign: Sanders T. Frank: cardiology: ischaemic heart disease
The rectus sheath (also called the rectus fascia [1]) is a tough fibrous compartment formed by the aponeuroses of the transverse abdominal muscle, and the internal and external oblique muscles. It contains the rectus abdominis and pyramidalis muscles, as well as vessels and nerves.
Subdural hematoma – between the dura mater and arachnoid mater; Subarachnoid hematoma – between the arachnoid mater and pia mater (the subarachnoid space) Othematoma – between the skin and the layers of cartilage of the ear; Breast hematoma ; Perichondral hematoma ; Perianal hematoma ; Subungual hematoma (nail) Rectus sheath hematoma
Appendicitis symptoms fall into two categories, typical and atypical. ... perforated peptic ulcer, pancreatitis, rectus sheath hematoma and epiploic appendagitis. ...