Lohle P N, Puylaert J B, Coerkamp E G, Hermans E T
Department of Radiology, Westeinde Hospital, The Hague, The Netherlands.
Abdom Imaging. 1995 Mar-Apr;20(2):152-4. doi: 10.1007/BF00201526.
Within a period of 5 years, we encountered three patients with a small rectus sheath hematoma, presenting with clinical signs of appendicitis. The rectus sheath hematoma was diagnosed by ultrasound (US) in all three cases and confirmed by computed tomography (CT) in two. None of the hematomas was palpable and in two of three cases in which the patient did not receive anticoagulant therapy. In patients who are sonographically examined for suspected appendicitis, the abdominal wall should be studied as well, to exclude a nonpalpable rectus sheath hematoma. In cases in which a hematoma is found, an unnecessary appendectomy can be prevented.
在5年的时间里，我们遇到了3例腹直肌鞘小血肿患者，他们表现出阑尾炎的临床症状。所有3例患者均通过超声（US）诊断为腹直肌鞘血肿，其中2例经计算机断层扫描（CT）确诊。所有血肿均不可触及，3例中有2例患者未接受抗凝治疗。对于因疑似阑尾炎而接受超声检查的患者，也应检查腹壁，以排除不可触及的腹直肌鞘血肿。在发现血肿的病例中，可以避免不必要的阑尾切除术。
