{"pk":17219,"title":"Spontaneous Rectus Sheath Hematoma","subtitle":null,"abstract":"Abdominal wall pathology is a frequently overlooked cause of acute abdomen. Increasing use of antiplatelet and anticoagulant therapies has led to an increase in the incidence of spontaneous rectus sheath hematoma (RSH). A high index of suspicion is needed for diagnosis as it can closely mimic other causes of acute abdomen. Herein, we report a case of RSH presenting with abdominal pain in which there was a significant delay in diagnosis. We wish to highlight the need to increase awareness among primary and emergency physicians about considering RSH in the initial differential diagnoses of abdominal pain. [West J Emerg Med. 2010; 11(1):76-79].","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Rectus Sheath Hematoma"},{"word":"RSH"},{"word":"acute abdomen"},{"word":"abdominal pain"},{"word":"parietal wall pain."},{"word":"Emergency Medicine"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0dw7z87v","frozenauthors":[{"first_name":"Venkata","middle_name":"M","last_name":"Alla","name_suffix":"","institution":"Creighton University Medical Center, Department of Internal Medicine, Omaha, NE","department":"None"},{"first_name":"Showri","middle_name":"M","last_name":"Karnam","name_suffix":"","institution":"Creighton University Medical Center, Department of Internal Medicine, Omaha, NE","department":"None"},{"first_name":"Manu","middle_name":"","last_name":"Kaushik","name_suffix":"","institution":"Creighton University Medical Center, Department of Internal Medicine, Omaha, NE","department":"None"},{"first_name":"Joann","middle_name":"","last_name":"Porter","name_suffix":"","institution":"Creighton University Medical Center, Department of Internal Medicine, Omaha, NE","department":"None"}],"date_submitted":"2009-03-31T07:00:00Z","date_accepted":"2009-03-31T07:00:00Z","date_published":"2010-04-02T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17219/galley/8705/download/"}]}