Ariyoshi Yukino, Naito Hiromichi, Ihoriya Hiromi, Yumoto Tetsuya, Fujisaki Noritomo, Tsukahara Kohei, Yamada Taihei, Mandai Yasuhiro, Osako Takaaki, Nakao Atsunori
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Japan.
Case Rep Emerg Med. 2019 May 23;2019:3158969. doi: 10.1155/2019/3158969. eCollection 2019.
Rectus sheath hematoma is an unusual but well-known clinical problem. Our hospital admitted a 54-year-old woman complaining of harsh right-sided hypogastric pain that started while muscle training. Computed tomography of the abdomen and pelvis demonstrated a right rectus sheath hematoma. As the hematoma did not increase, the patient was conservatively treated. Despite increased awareness of rectus sheath hematoma, its early diagnosis and treatment still present a challenge to emergency physicians. Swift acknowledgement of this rare cause of abdominal pain may avoid more intrusive examination, unnecessary hospitalization, and laparotomy. Careful consideration of the patient's medical history and a high index of suspicion are needed to diagnose this complication.
腹直肌鞘血肿是一个不常见但广为人知的临床问题。我院收治了一名54岁女性，她主诉在进行肌肉训练时开始出现右侧下腹部剧痛。腹部和盆腔计算机断层扫描显示为右侧腹直肌鞘血肿。由于血肿没有增大，对该患者进行了保守治疗。尽管对腹直肌鞘血肿的认识有所提高，但其早期诊断和治疗仍然给急诊医生带来挑战。迅速认识到这种罕见的腹痛原因可以避免更侵入性的检查、不必要的住院和剖腹手术。诊断这种并发症需要仔细考虑患者的病史并保持高度怀疑。
