Article

Rectus sheath haematoma: A rare presentation of non-contact strenuous exercises

Department of Surgery, Whiston Hospital, Prescot, Merseyside, UK.
British Journal of Sports Medicine (Impact Factor: 5.03). 11/2007; 41(10):688-90. DOI: 10.1136/bjsm.2007.036087
Source: PubMed

ABSTRACT Rectus sheath haematoma (RSH) is a well-documented but uncommon clinical condition. It is usually a self-limiting condition but can present as a life-threatening emergency. RSH after non-contact vigorous exercise is unknown. Two such cases secondary to yoga and laughter therapy sessions, respectively, are reported. One of them required surgical intervention, whereas the other was successfully treated conservatively.

Download full-text

Full-text

Available from: Muhammed Ashraf Memon, Aug 04, 2015
0 Followers
 · 
104 Views
  • Source
    • "A literature search on " Laughter Yoga " (and variants; ISI Web of Knowledge, PubMed June 1st, 2011) yielded two hits: Shahidi et al. and Sharma et al. (2007), who report two case studies on a rare medical condition involving abdominal pathology. The elderly patients attended yoga or laughter therapy sessions and developed symptoms later on. "
    International Journal of Geriatric Psychiatry 08/2012; 27(8):873-4; author reply 875-6. DOI:10.1002/gps.2793 · 3.09 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Spontaneous rectus sheath hematoma is an uncommon condition which usually presents as acute abdomen, mimicking other abdominal disorders. Management must be initially conservative, but surgery is indicated in progressive hematomas. We present a case report of rectus sheath hematoma conservatively managed.
    Acta chirurgica Belgica 01/2008; 108(3):339-40. · 0.44 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: A healthy 26-year-old man visited the Emergency Department due to right lower quadrant pain of 2 days' duration that developed after wakeboarding. There was no history of direct trauma to the abdomen. Physical examination revealed tenderness and rebound tenderness on the right lower quadrant area. There was no palpable abdominal mass. Computed tomography (CT) of the abdomen was undertaken to discern the causes of acute abdomen, including acute appendicitis. CT revealed a small-size rectus sheath hematoma beneath the lower end of the right rectus muscle. The patient was admitted for supportive care including pain control and was discharged with improvement after 5 days. Rectus sheath hematoma can be caused by not only a direct blow but also non-contact strenuous exercise, for example, wakeboarding in this case. Although the majority of rectus sheath hematomas are self-limiting, some can cause peritoneal irritation signs, mimicking acute abdomen, and eventually lead to unnecessary laparotomy without clinical suspicion and ancillary tests including CT scan and ultrasonography.
    Journal of Emergency Medicine 09/2008; 39(3):e117-9. DOI:10.1016/j.jemermed.2007.10.088 · 1.18 Impact Factor
Show more