• Robert T Stenberg, Bhanu Wahi-Singh, Pia Wahi-Singh, Andrew Hill, and Erin L Simon.
• Cleveland Clinic Akron General, Department of Emergency Medicine, 1 Akron General Ave., Akron, OH 44307, USA; Northeast Ohio Medical University, 4209 St. OH-44, Rootstown, OH 44272, USA.
• Am J Emerg Med. 2023 Jan 1; 63: 183.e1183.e3183.e1-183.e3.

AbstractPeripheral nerve blocks for pain management have historically been discussed in anesthesiology literature but, until recently, have not been considered in emergency medicine contexts. Transversus abdominis plane (TAP) blocks, in particular, have recently been explored in the emergency department for pain control in acute appendicitis but are potentially helpful for managing abdominal pain of other etiologies. One such pathology is rectus sheath hematomas, where conservative management is often necessary as curative treatments often pose more significant risks than are necessary. We report the case of a 57-year-old female presenting to the emergency department with severe abdominal pain following vigorous exercise. She was found to have a large rectus sheath hematoma on computed tomography. An ultrasound-guided transversus abdominis plane block was performed in the emergency department, and the patient had complete resolution of her pain.Copyright © 2022 Elsevier Inc. All rights reserved.

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