Ducatman B S, Ludwig J, Hurt R D
JAMA. 1983 Feb 18;249(7):924-5.
Rectus sheath hematoma is an uncommon, often misdiagnosed, and usually self-limited condition. In a recent review of autopsy cases at the Mayo Clinic, Rochester, Minn, we found two patients in whom hemorrhages into the rectus sheaths were considered the immediate cause of death and one in whom the hemorrhage was considered a contributing cause of death. Rectus sheath hematoma should be included in the differential diagnosis of an abdominal mass of sudden onset, especially in patients who have been given anticoagulants. The condition may be fatal if the volume of the hemorrhage is large and if treatment is delayed.
腹直肌鞘血肿是一种罕见、常被误诊且通常自限性的病症。在明尼苏达州罗切斯特市梅奥诊所近期对尸检病例的回顾中，我们发现两名患者腹直肌鞘出血被视为直接死因，一名患者出血被视为促成死亡的原因。腹直肌鞘血肿应纳入突发性腹部肿块的鉴别诊断中，尤其是在接受抗凝剂治疗的患者中。如果出血量很大且治疗延迟，这种病症可能是致命的。
