Ramirez M M, Burkhead J M, Turrentine M A
Department of Obstetrics & Gynecology, MacGregor Medical Association, Houston, Texas 77030, USA.
Am J Perinatol. 1997 Jul;14(6):321-3. doi: 10.1055/s-2007-994153.
Sudden disruption of a deep epigastric vessel may result in an abdominal wall hematoma, which, depending upon its location and size, can produce symptoms and clinical findings compatible with a variety of acute intra-abdominal conditions. The literature has noted a predominance of pregnant patients among those affected with this malady. Such hematomas are infrequently encountered and early accurate diagnosis could prevent surgical intervention. Unfortunately, the clinical manifestations of rectus muscle hematoma are sometimes so dramatic that laparotomy is performed under the belief that intra-abdominal pathology is present. We present a case of a suspected abruptio placenta misdiagnosed by clinical and ultrasound examination that was subsequently discovered to be a rectus sheath hematoma at the time of surgery.
上腹部深部血管的突然破裂可能导致腹壁血肿，根据其位置和大小，可产生与多种急性腹腔内疾病相符的症状和临床表现。文献指出，受此病影响的患者中孕妇居多。此类血肿很少见，早期准确诊断可避免手术干预。不幸的是，腹直肌血肿的临床表现有时非常显著，以至于在认为存在腹腔内病变的情况下进行了剖腹手术。我们报告一例临床和超声检查误诊为胎盘早剥的病例，随后在手术时发现是腹直肌鞘血肿。
