Meiser G, Meissner K
Chirurg. 1986 Oct;57(10):628-33.
Rectus sheath hematomas are rare sequelae of direct or indirect trauma to the abdominal wall, with or without muscle rupture or laceration of epigastric vessels. "Spontaneous" hemorrhage may occur in patients receiving anticoagulant therapy. The diagnosis remains frequently unrecognized prior to ill advised laparotomies performed for suspected abdominal emergencies. Nine patients suffering from rectus sheath hematoma are reported, typical etiological factors, clinical and radiological findings and diagnostic difficulties outlined. Ultrasonography has proven to be the procedure of choice, yielding immediate diagnosis and trend observation.
腹直肌鞘血肿是腹壁直接或间接创伤的罕见后遗症，可伴有或不伴有肌肉破裂或腹壁上血管的撕裂伤。接受抗凝治疗的患者可能会发生“自发性”出血。在因疑似腹部急症而进行不当剖腹手术之前，该诊断常常未被认识到。本文报告了9例腹直肌鞘血肿患者，概述了典型的病因、临床和影像学表现以及诊断困难。超声检查已被证明是首选的检查方法，可立即做出诊断并进行趋势观察。
