ABSTRACT
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.
Keywords
Pregnancy - surgical abdomen
