case_images: PMC10721295_01
case_images: Patient pointing to area of focal tenderness on exam. Visible scattered ecchymosis (including positive Cullen's Sign) in various stages of healing noted over abdomen.
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case_images: PMC10721295_01_pocusj-08-16500-g001.jpg
case_images: figure-41a20c7f5d1d4f74978fd54bbd43f7da
case_images: Although his ecchymosis was scattered across his abdomen on exam, he elicited focal tenderness in his right upper quadrant (Figure 1).
case_images: POCUS finding of rectus sheath hematoma. Hypoechoic hematoma (red arrow) deep to the hyperechoic aponeurosis of the anterior rectus sheath.
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case_images: PMC10721295_01_pocusj-08-16500-g002.jpg
case_images: figure-871fd893203e4bcfbff09490efc5e7d9
case_images: The assessing medical provider placed an ultrasound probe directly over the area of pain which revealed a hypoechoic, ovoid hematoma adjacent to the rectus sheath (Figure 2).
case_images: Figure 3. Transverse cut of CT imaging revealing right abdominal wall hematoma (red arrow) that was measured to be approximately 11.4 x 2.6 x 8.4cm in volume.
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case_images: PMC10721295_01_pocusj-08-16500-g003.jpg
case_images: figure-cda838cd8d1d46f0a3640a81c360495e
case_images: CT was obtained to rule out active extravasation. CT confirmed the finding of rectus sheath hematoma without acute bleeding (Figure 3).