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Stretch too far: rectus sheath haematoma secondary to repetitive trauma and increased intra-abdominal pressure
  1. Joshua Reider1,
  2. Logan Radtke1,
  3. Caleb Joseph Heiberger1 and
  4. Douglas Yim2
  1. 1University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA
  2. 2Department of Interventional Radiology, Avera McKennan Hospital and University Health Center, Sioux Falls, South Dakota, USA
  1. Correspondence to Joshua Reider; joshua.reider{at}


A 26-year-old man presented with a 4-week history of right lower quadrant abdominal pain which was managed conservatively at home with ibuprofen. Three days later, he presented to the emergency department with worsening pain and swelling following an episode of coughing and slipping in the bathroom. Following his admission, CT angiography showed an active bleed into a 4.6×6.7×11 cm right rectus sheath haematoma, just inferior to the umbilicus. The patient was then referred to interventional radiology for an angiogram and coil embolisation. A superselective branch angiogram showed contrast extravasation from a medial branch of the right inferior epigastric artery, successfully embolised without incident.

  • interventional radiology
  • radiology

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  • Contributors DY, JR and CJH contributed to the acquisition of data and the management of the reported patient. JR, CJH and LR co-wrote the first draft of the manuscript. All authors contributed to and have approved the final version of the manuscript. Regarding responsibility for overall content, the lead author, JR, is the guarantor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.