Ulus Travma Acil Cerrahi Derg. 2006; 12(1): 76-78

Rektus kýlýfý hematomu: Olgu sunumu

Zülfikar KARABULUT¹, Ýlker ABCI¹, Hatice LAKADAMYALI², Önder GEBEDEK^2
1Departments of General Surgery, Medicine Faculty of Baþkent University, Alanya Training and Research Center, Antalya, Turkey.
²Departments of Radiology, Medicine Faculty of Baþkent University, Alanya Training and Research Center, Antalya, Turkey.

Rektus kasý kýlýfý hematomlarý, epigastrik damarlarýn veya rektus kasýnýn yýrtýlmasý sonucu meydana gelen ve nadir görülen durumlardýr. Genellikle infraumblikal bölgede oluþur ve kolaylýkla karýn içi enþamasyonlu hastalýklar ve tümörleri ile karýþtýrýlýrlar. Bu yazýda þiddetli karýn aðrýsý, bulantý, kusma þikayetleriyle kliniðimize baþvuran 70 yaþýndaki kadýn hasta sunuldu. Ultrasonografi ve karýnýn bilgisayarlý tomografisinde rektus kýlý- fý hematomu saptandý. Hasta yatak istirahati, kan transfüzyonu, sývý ve analjezik ilaç tedavisi ile sorunsuz iyileþti. Kesin taný için bilgisayarlý tomografi yöntemi seçilmelidir. Ýdeal tedavi konservatiftir.

Anahtar Kelimeler: Hematom/taný/radyografi/ultrasonografi; MRG; kas hastalýðý/taný/radyografi/ultrasonografi; rektus kasý; tomografi, X-ýþýný kompüterize.

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A case of rectus sheath hematoma

Zülfikar KARABULUT¹, Ýlker ABCI¹, Hatice LAKADAMYALI², Önder GEBEDEK^2
1Departments of General Surgery, Medicine Faculty of Baþkent University, Alanya Training and Research Center, Antalya, Turkey.
²Departments of Radiology, Medicine Faculty of Baþkent University, Alanya Training and Research Center, Antalya, Turkey.

Rectus sheath hematomas are uncommon and are being caused by the injuries of the epigastric vessels and the rectus muscle. They are usually located infraumblically and often misdiagnosed as inþammatory diseases or tumours of the abdomen. We present a 70-year-old woman who had complaints of severe abdominal pain on the left side, nausea and vomiting after heavy lifting. Rectus sheath hematoma was detected by abdominal ultrasonography and computerized tomography. The patient recovered uneventfully after bed rest, intravenous fluid replacement, blood transfusion and analgesic treatment. Computerized tomography must be chosen for definitive diagnosis. Ideal treatment is conservative.

Keywords: Hematoma/diagnosis/radiography/ultrasonography; MRI; muscular diseases/diagnosis/radiography/ultrasonography; rectus abdominis; tomography, X-ray computed.

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