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The blood accumulates in the space between the inner lining of the abdominal wall and the internal abdominal organs. Hemoperitoneum is generally classified as a surgical emergency; in most cases, urgent laparotomy is needed to identify and control the source of the bleeding. In selected cases, careful observation may be permissible.
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 positive test indicates the increased likelihood that the abdominal wall and not the abdominal cavity is the source of the pain (for example, due to rectus sheath hematoma instead of appendicitis). [ 3 ] [ 4 ] A negative Carnett's sign is said to occur when the abdominal pain decreases when the patient is asked to lift the head; this points ...
Grey Turner's sign refers to bruising of the flanks, the part of the body between the last rib and the top of the hip.The bruising appears as a blue discoloration, [1] and is a sign of retroperitoneal hemorrhage, or bleeding behind the peritoneum, which is a lining of the abdominal cavity.
Early indications of abdominal trauma include nausea, vomiting, blood in the urine, and fever. [4] [6] The injury may present with abdominal pain, tenderness, [7] distension, or rigidity to the touch, and bowel sounds may be diminished or absent. Abdominal guarding is a tensing of the abdominal wall muscles to guard inflamed organs within the ...
Injuries include abdominal wall hematoma, umbilical hernias, umbilical wound infection, and penetration of blood vessels or small or large bowel. [26] The risk of such injuries is increased in patients who have a low body mass index [27] or have a history of prior abdominal surgery. While these injuries are rare, significant complications can ...
A seroma is usually caused by surgery. Seromas are particularly common after breast surgery [3] (e.g., mastectomy), [4] abdominal surgery, and reconstructive surgery. It can also be seen after neck surgery, [1] thyroid and parathyroid surgery, [5] and hernia repair. [2] The larger the surgical intervention, the more likely that seromas form.
Abdominal and rectal examination, in order to determine possible causes of hemorrhage; Assessment for portal hypertension and stigmata of chronic liver disease in order to determine if the bleeding is from a variceal source. Laboratory findings include anemia, coagulopathy, and an elevated BUN-to-creatinine ratio.