Paper| Volume 26, ISSUE 9, P605-607, November 1995

Abdominal wall haematoma mimicking visceral injury: the role of CT scanning

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      Four patients are presented who were thought to have sustained visceral injury following blunt abdominal trauma. However, CT demonstrated abdominal wall haematomata and allowed non-operative management. Similarity between the clinical findings in visceral injury and abdominal wall haematoma can lead to diagnostic difficulty. The cases illustrate the need to consider abdominal wall haematoma as a possible diagnosis in patients with blunt abdominal trauma. The place of CT in making this diagnosis is highlighted.
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        • Gay SB
        • Sistrom CL
        Computed tomographic evaluation of blunt abdominal trauma.
        Radiol Clin North Am. 1992; 30: 367-388
        • Wolfman NT
        • Bechtold RE
        • Scharling ES
        • Meredith JW
        Blunt upper abdominal trauma: evaluation by CT.
        Am J Roentgenol. 1992; 158: 493-501
        • McCort JJ
        Abdominal muscle trauma.
        in: McCort JJ Trauma Radiology. Churchill Livingstone, New York1990: 241-244
        • Bode PJ
        • Niezen A
        • van Vugt AB
        • Schipper J
        Abdominal ultrasound as a reliable indicator for conclusive laparotomy in blunt abdominal trauma.
        J Trauma. 1993; 34: 27-31
        • Verhagen HJM
        • Tolenaar PL
        • Sybrandy R
        Haematoma of the rectus abdominis muscle.
        Eur J Surg. 1993; 159: 335-338
        • Manier JW
        Rectus sheath haematoma. Six case reports and a literature review.
        Am J Gastroenterol. 1972; 57: 443-451
        • Jones TW
        • Merendino KA
        The deep epigastric artery: rectus muscle syndrome.
        Am J Surg. 1962; 103: 159-169
        • Goodman P
        • Balachandran S
        CT evaluation of the abdominal wall.
        Crit Rev Diagn Imaging. 1992; 33: 461-493
        • Goodman P
        • Raval B
        CT of the abdominal wall.
        Am J Roentgenol. 1990; 154: 1207-1211
        • Sherck JP
        • Oakes DD
        Intestinal injuries missed by computed tomography.
        J Trauma. 1990; 30: 1-7
        • Pappas D
        • Mirvis SE
        • Crepps JT
        Splenic trauma: false-negative CT diagnosis in cases of delayed rupture.
        Am J Roentgenol. 1987; 149: 727-728