Rectus sheath hematoma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Painful swelling of the left pelvic wall in a patient treated for COVID-19 pneumonia with anticoagulants. No history of trauma.

Patient Data

Age: 80 years
Gender: Female
mri

There is a large mass of the left pelvic wall of complex signal measuring 10 x 7.5 x 5.5 cm centered on the rectus abdominis muscle. It elicits an intermediate signal on T1 with areas of high signal and numerous areas of fluid-fluid levels on T2.

Case Discussion

MRI features most consistent with a spontaneous rectus sheath hematoma in a patient treated with anticoagulants for COVID-19.pneumonia.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.