EC Clinical and Medical Case Reports

Rectus sheath hematoma is a condition that occurs when blood accumulates in the rectus sheath, the connective tissue surrounding the rectus abdominis muscles. It is most commonly seen after trauma, such as blunt abdominal injury or strenuous physical activity. However, non-traumatic cases can also occur, particularly in individuals with underlying risk factors such as anticoagulant therapy, coagulopathies, or advanced age. Bilateral Rectus sheath hematoma, where bleeding occurs in both sides of the abdominal wall, is even more uncommon. This case report discusses a rare presentation of non-traumatic bilateral rectus sheath hematoma in a patient who presented with acute abdominal pain and highlights the importance of considering this diagnosis in the differential diagnosis of acute abdominal pain, even in the absence of a history of trauma.

 Keywords: Rectus Sheath Hematoma; Abdominal Pain; Abdominal Imaging; Coagulopathy; Case Report

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