{"id":9418,"date":"2013-07-26T21:05:57","date_gmt":"2013-07-27T01:05:57","guid":{"rendered":"http:\/\/insidesurgery.com\/?p=9418"},"modified":"2014-08-20T08:43:24","modified_gmt":"2014-08-20T12:43:24","slug":"rectus-sheath-hematoma","status":"publish","type":"post","link":"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/","title":{"rendered":"Rectus Sheath Hematoma"},"content":{"rendered":"<p>Rectus sheath hematoma is a not uncommon condition caused by iatrogenic injury during laparoscopic injury or seen in the setting of anticoagulation, especially in an older patient. The bleeding has been described as both venous and <a href=\"http:\/\/en.wikipedia.org\/wiki\/Inferior_epigastric_artery\">arterial <\/a>in origin.<\/p>\n<div id=\"attachment_9425\" style=\"width: 258px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/rectus-sheath-hematoma-2\/\" rel=\"attachment wp-att-9425\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9425\" class=\"size-full wp-image-9425\" alt=\"rectus sheath hematoma\" src=\"http:\/\/insidesurgery.com\/wp-content\/uploads\/2013\/07\/rectus-sheath-hematoma.jpg\" width=\"248\" height=\"179\" \/><\/a><p id=\"caption-attachment-9425\" class=\"wp-caption-text\">Rectus sheath hematoma (arrow)<\/p><\/div>\n<p>&nbsp;<\/p>\n<p><!--more-->Rectus sheath hematoma symptoms can mimic intra-abdominal pathology. Abdominal pain and tenderness (worsened with abdominal wall contraction) is almost always the initial complaint and finding and CT scan facilitates correct diagnosis.<\/p>\n<p>The most typical location of rectus sheath hematoma is in the lower abdomen, below the semicircular line. Here the epigastric vessels are separated from the rectus muscle fibers only by a thin sheath of fascia and preperitoneal fat.<\/p>\n<p>Generally, the treatment is conservative and those with a stable hematoma are treated by pain medication and avoidance of abdominal wall stress.<\/p>\n<p>In an expanding hematoma, the lesion must be controlled surgically and the epigastric vessels are ligated both above and below the hematoma with evacuation of the blood<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rectus sheath hematoma is a not uncommon condition caused by iatrogenic injury during laparoscopic injury or seen in the setting of anticoagulation, especially in an older patient. The bleeding has been described as both venous and arterial in origin. &nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[16,28],"tags":[5678,5032,5677,5676],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Rectus Sheath Hematoma - InsideSurgery Medical Information Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rectus Sheath Hematoma - InsideSurgery Medical Information Blog\" \/>\n<meta property=\"og:description\" content=\"Rectus sheath hematoma is a not uncommon condition caused by iatrogenic injury during laparoscopic injury or seen in the setting of anticoagulation, especially in an older patient. The bleeding has been described as both venous and arterial in origin. &nbsp;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/\" \/>\n<meta property=\"og:site_name\" content=\"InsideSurgery Medical Information Blog\" \/>\n<meta property=\"article:published_time\" content=\"2013-07-27T01:05:57+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2014-08-20T12:43:24+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/insidesurgery.com\/wp-content\/uploads\/2013\/07\/rectus-sheath-hematoma.jpg\" \/>\n<meta name=\"author\" content=\"Editor\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Editor\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/\",\"url\":\"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/\",\"name\":\"Rectus Sheath Hematoma - InsideSurgery Medical Information Blog\",\"isPartOf\":{\"@id\":\"https:\/\/insidesurgery.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/#primaryimage\"},\"thumbnailUrl\":\"http:\/\/insidesurgery.com\/wp-content\/uploads\/2013\/07\/rectus-sheath-hematoma.jpg\",\"datePublished\":\"2013-07-27T01:05:57+00:00\",\"dateModified\":\"2014-08-20T12:43:24+00:00\",\"author\":{\"@id\":\"https:\/\/insidesurgery.com\/#\/schema\/person\/80c1e5c67f8a2c348e38e202270e8594\"},\"breadcrumb\":{\"@id\":\"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\",\"caption\":\"Rectus sheath hematoma (arrow)\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/insidesurgery.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Rectus Sheath Hematoma\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/insidesurgery.com\/#website\",\"url\":\"https:\/\/insidesurgery.com\/\",\"name\":\"InsideSurgery Medical Information Blog\",\"description\":\"Details of surgical procedures, pathophysiology, signs and symptoms, and treatment of medical diseases,medical and surgical eponyms, and surgeons and surgery in the news\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/insidesurgery.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/insidesurgery.com\/#\/schema\/person\/80c1e5c67f8a2c348e38e202270e8594\",\"name\":\"Editor\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/insidesurgery.com\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/41c3c845307fcd3eff88632d6ccaf656?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/41c3c845307fcd3eff88632d6ccaf656?s=96&d=mm&r=g\",\"caption\":\"Editor\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Rectus Sheath Hematoma - InsideSurgery Medical Information Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/insidesurgery.com\/2013\/07\/rectus-sheath-hematoma\/","og_locale":"en_US","og_type":"article","og_title":"Rectus Sheath Hematoma - InsideSurgery Medical Information Blog","og_description":"Rectus sheath hematoma is a not uncommon condition caused by iatrogenic injury during laparoscopic injury or seen in the setting of anticoagulation, especially in an older patient. 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