Description

A 70-year-old woman presented with an 8-week history of an enlarging asymmetric and tender abdominal mass and microcytic anaemia but no obvious bleeding, weight loss or change in bowel habit (figure 1). This had been investigated 4 weeks ago, and at that time she was diagnosed with a rectus sheath haematoma (RSH) secondary to previous abdominal wall strain—the main risk factor for RSH, followed by anticoagulation1 ,2— on the basis of ultrasound and subsequent CT findings, …