Yalçın Gölcük1, Deniz Oray1, Ender Bademkıran2

1Tepecik Research And Training Hospital, Department Of Emergency Medicine, İzmir, Turkey
2Tepecik Research And Training Hospital, 3rd Clinic Of General Surgery, İzmir, Turkey

Keywords: Rectus sheet hematoma, computerized tomography, warfarin overdose.


A rectus sheath hematoma occurs an accumulation of blood in the sheath of the rectus abdominis, secondary to rupture of an epigastric arteries or their branches or rectus muscle tear. The choice of effective treatment of rectus sheath hematoma and the decision to admit the patient to hospital depends on the degree of haemodynamic compromise, coagulation status as well as the type of the hematoma on abdominopelvic computerized tomography scans. In this article, we report a case of spontaneous rectus sheath hematoma presenting with acute abdominal pain associated with a palpable abdominal wall mass. Furthermore, diagnosis, classification, and management of rectus sheath hematoma in the emergency room are discussed.