Diagnosis of Rectus Sheath Hematoma by Point-of-Care Ultrasound

Carr, Casey; Rhyne, Randall

doi:10.1016/j.jemermed.2019.01.020

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…In previous case reports related to RSH, the area of hematoma was evident on physical examination; however, the distinction was not clear in our case because of the prominent abdominal distension [4]. With the use of POCUS, we were able to confirm the diagnosis of RSH and rule out the presence of abscess collection or peritonitis.…”

Section: Discussionmentioning

confidence: 44%

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Hemodynamic Instability in Emergency Department: Giant Rectus Sheath Hematoma and Point-of-Care Ultrasonography

Çanakçı

Temel

et al. 2021

Cureus

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Iatrogenic rectus sheath hematoma (RSH) developed after paracentesis is a rare but life-threatening complication. Mortality rates of patients may increase due to delays in treatment and comorbid conditions. In this article, we present the case of a patient who was unstable in the emergency department and was diagnosed with RSH using point-of-care ultrasonography (POCUS). The importance of POCUS has increased as hematoma manifestations of patients with severe ascites tend to be obscured. POCUS has varied uses in the emergency department, and in this article we emphasize the use of POCUS in a life-threatening case of RSH.

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Section: Discussionmentioning

confidence: 44%

“…The use of point-of-care ultrasound (POCUS) in the ED is increasing every day. RSH can be diagnosed promptly with POCUS [4]. Thus, the use of POCUS as a rapid, noninvasive, and inexpensive method of differential diagnosis of critical patients will continue to increase.…”

Section: Introductionmentioning

confidence: 99%

Hemodynamic Instability in Emergency Department: Giant Rectus Sheath Hematoma and Point-of-Care Ultrasonography

Çanakçı

Temel

et al. 2021

Cureus

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“…Abscess identification and drainage and diagnosis of infectious tenosynovitis are other applications of musculoskeletal POCUS, and each of these pathologies has a distinct ultrasound appearance [ 5 - 8 ]. POCUS is also a useful technology for finding collections of blood and can be used to identify vascular injury or hematoma [ 3 , 9 - 13 ]. Penetrating trauma is a mechanism that could lead to vascular injury from vessel puncture or infection through introduction of bacteria by the penetrating object [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Cat got your artery? Point of care ultrasound in the evaluation of penetrating trauma by a feline: a case report

Haley

MacKenzie

2022

Clin Exp Emerg Med

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Point of care ultrasound is an important tool for diagnosis of musculoskeletal and vascular pathology in patients presenting to the emergency department. Superficial vascular and soft tissue structures are well-visualized at the bedside using modern ultrasound systems and have image characteristics that can be rapidly identified. This report describes the use of point of care ultrasound to distinguish between rapidly progressive soft tissue infection and vascular injury following penetrating trauma from a cat scratch. Ultrasound allowed the physician to rapidly make accurate decisions about the next necessary steps in the patient’s care. Point of care ultrasound provides immediate diagnostic information to supplement indeterminate physical examination findings. In this case, it allowed the treating physician to make the diagnosis of arterial injury using ultrasound image characteristics. An integrative approach to ultrasonography of superficial musculoskeletal and vascular structures could enhance clinical decision making and improve care of patients with similar complaints.

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2019

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Diagnosis of Rectus Sheath Hematoma by Point-of-Care Ultrasound

Cited by 3 publications

References 13 publications

Hemodynamic Instability in Emergency Department: Giant Rectus Sheath Hematoma and Point-of-Care Ultrasonography

Hemodynamic Instability in Emergency Department: Giant Rectus Sheath Hematoma and Point-of-Care Ultrasonography

Cat got your artery? Point of care ultrasound in the evaluation of penetrating trauma by a feline: a case report

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