Rectus Sheath Haematoma Masquerading as Ovarian Tumour

International Journal of Research in Health Sciences,2014,2,1,410-413.
Published:January 2014
Type:Case Report
Author(s) affiliations:

Kavitha B, Geetha L, Rama Devi A, Madhuri K, Rama Devi Y, Prabhakar GC

Department of Gynecology and Obstetrics, Mamata Medical College & General Khammam, Telangana, INDIA.


Abdominal wall pathology is a frequently overlooked cause of acute abdomen and palpable mass. Increasing use of antiplatelet and anticoagulant therapies has led to an increase in the incidence of spontaneous rectus sheath hematoma (RSH). A high index of suspicion is needed for diagnosis as it can closely mimic other causes of acute abdomen and result in significant mortality. Herein, we report a case of RSH presenting with abdominal mass which was confused to a malignant ovarian tumour causing unnecessary concern to the patient & her attendees. We wish to highlight the need to increase awareness among primary and emergency physicians about considering RSH in the initial differential diagnoses of abdominal pain.

CT scan showing mass lesion