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Ultrasound Therapy in Rectus Sheath Hematoma

JD Berná-Serna, MD, is Radiologist and Professor of Radiology, Department of Radiology, University General Hospital, Murcia, Spain
J Sánchez-Garre, PT, is Physical Therapist and Associate Professor of Physiotherapy, Department of Physiotherapy, University General Hospital
M Madrigal, MD, is General Surgeon and Associate Professor of Surgery, Department of Surgery, University General Hospital
I Zuazu, MD, is Hematologist and Associate Professor of Medicine, Department of Hematology, University General Hospital
JD Berná-Mestre, BSc, is Resident in Radiology, Department of Radiology, University General Hospital

Address all correspondence to Dr Berná-Serna at C.E.P. DR. QUESADA SANZ, Servicio de Radiodiagnóstico, C/ Dr. Quesada Sanz s/n. 30005 Murcia, Spain (jdberna{at}um.es)

Background and Purpose. Ultrasound (US) is one of the most common modalities used in intervention for musculoskeletal disorders, although its effectiveness is debated. The purpose of this case report is to describe the intervention, including the use of US, in the management of a large rectus sheath hematoma (RSH) in a patient receiving anticoagulant therapy. Case Description. The patient was a 62-year-old woman with RSH who was receiving oral anticoagulant therapy and had a history of bouts of coughing. Computed tomographic scans verified the diagnosis of RSH. The report describes the patient examination, management, intervention, and outcomes. Outcomes. The intervention, including the use of US therapy, may have enabled a rapid resolution of the hematoma. Discussion. This case report illustrates how US may be a useful modality for complementary management of RSH, helping the reabsorption of the hematoma.

Key Words: Abdominal wall • Electrophysical agents • Hematoma • Muscle • Ultrasound