• Ned Tijdschr Geneeskd · Jan 2009

    Case Reports

    [Urological symptoms due to rectus sheath haematoma].

    • Diederick Duijvesz, Robert J Hoekstra, and J L H Ruud Bosch.
    • Erasmus MC, afd. Urologie, Rotterdam, The Netherlands.
    • Ned Tijdschr Geneeskd. 2009 Jan 1; 153: B189.

    AbstractTwo men presented at the Accident & Emergency Department with lower urinary tract symptoms. The first patient was a 76-year-old male with reddish urine and lower abdominal pain. A CT-scan revealed a tumorous mass related to the bladder. The second patient was a 61-year-old male with dysuria and lower abdominal pain. In both patients the complaints were due to a rectus sheath haematoma. Rectus sheath haematoma is a rare condition caused by damage of the epigastric vessels or a rupture of the rectus abdominis muscle. Voiding problems can arise when the haematoma extends into the prevesical (Retzius) space that is anatomically related to the rectus sheath. A haematoma of the rectus sheath is difficult to diagnose. Current insights show that conservative treatment is generally sufficient.

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