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Pierro A, Cilla S, Modugno P, et al. Spontaneous rectus sheath hematoma: The utility of CT angiography. Radiol Case Rep. 2018;13(2):328-332doi: 10.1016/j.radcr.2018.01.016.
Pierro, A., Cilla, S., Modugno, P., Centritto, E. M., De Filippo, C. M., & Sallustio, G. (2018). Spontaneous rectus sheath hematoma: The utility of CT angiography. Radiology case reports, 13(2), 328-332. https://doi.org/10.1016/j.radcr.2018.01.016
Pierro, Antonio, et al. "Spontaneous rectus sheath hematoma: The utility of CT angiography." Radiology case reports vol. 13,2 (2018): 328-332. doi: https://doi.org/10.1016/j.radcr.2018.01.016
Pierro A, Cilla S, Modugno P, Centritto EM, De Filippo CM, Sallustio G. Spontaneous rectus sheath hematoma: The utility of CT angiography. Radiol Case Rep. 2018 Feb 03;13(2):328-332. doi: 10.1016/j.radcr.2018.01.016. eCollection 2018 Apr. PMID: 29904466; PMCID: PMC6000050.
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Radiol Case Rep. 2018 Feb 03;13(2):328-332. doi: 10.1016/j.radcr.2018.01.016. eCollection 2018 Apr.

Spontaneous rectus sheath hematoma: The utility of CT angiography.

Radiology case reports

Antonio Pierro, Savino Cilla, Pietro Modugno, Enrico Maria Centritto, Carlo Maria De Filippo, Giuseppina Sallustio

Affiliations

  1. Radiology Department, Fondazione di Ricerca e Cura "Giovanni Paolo II", Università Cattolica del Sacro Cuore, Campobasso, Italy.
  2. Medical Physics Unit, Fondazione di Ricerca e Cura "Giovanni Paolo II", Università Cattolica del Sacro Cuore, Campobasso, Italy.
  3. Department Cardiovascular Disease, Fondazione di Ricerca e Cura "Giovanni Paolo II", Università Cattolica del Sacro Cuore, Campobasso, Italy.

PMID: 29904466 PMCID: PMC6000050 DOI: 10.1016/j.radcr.2018.01.016

Abstract

We described the utility of computed tomography (CT) angiography in detection of bleeding vessels for a rapid percutaneous arterial embolization of the spontaneous rectus sheath hematoma. A 70-year-old woman comes to our attention with acute abdominal pain and a low hemoglobin level. An unenhanced CT was performed demonstrating a large rectus sheath hematoma. A conservative management was initially established. Despite this therapy, the abdominal pain increased together with a further decrease of hemoglobin values. A CT angiography was then performed, demonstrating an active bleeding within the hematoma and addressing the patient to a rapid percutaneous arterial embolization.

Keywords: Active bleeding; Acute abdomen; Arterial embolization; CT angiography; Rectus sheath hematoma

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