Conservative Treatment of Spontaneous Rectus Sheath Hematomas: Single Center Experience and Literature Review

Figure 1

(a) B mode ultrasonographic image shows the SRSH. Increased muscle size with an ovoid fusiform border (red arrows) is seen. The SRSH is unilateral and does not dissect the fascial planes. Normal bladder is shown with yellow star (Type 1). (b) B mode ultrasonographic image shows that the SRSH is intramuscular but with blood between the muscle and the transversalis fascia, bilaterally. No blood was observed in the prevesical space. Complicated part of the SRSH is shown with blue arrow. Blood between the transversalis fascia and the muscle is shown with a red arrow (Type 2). (c) In the ultrasonographic image, the SRSH affects the muscle (blue arrows), and the blood is seen between the transversalis fascia and the muscle (red star) (Type 3). (d) In the ultrasonographic image, the SRSH affects the muscle (yellow arrow), and the blood is seen in the peritoneum and perivascular space (purple star) (Type 3).

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(b)

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