Rectus Sheath Hematoma on POCUS

Older male on apixaban for treatment of DVT presents with abdominal pain and shock. Ultrasound of the periumbilical area is done (clips shown in orthogonal planes). What is the diagnosis?

Massive rectus sheath hematoma and hemorrhagic shock. Image shows the peritoneum highlighted in blue. Acute, hypoechoic blood in red surrounded by clotted blood.  Pt went IR for inf epigastric embolization and was discharged a few days later.

University of Michigan Ultrasound @MaizeandLube

#Rectus #Sheath #Hematoma #POCUS #clinical #ultrasound #abdominal #wall 
Contributed by

Dr. Gerald Diaz
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/

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