15 thoughts on “Pain abdomen with distension, fever 55 years Male”

  1. FD: Spontaneous left rectus abdominis muscle/ sheath hematoma with thin extension into left lateral abdomen along the fascial protruding into abdominal cavity with smooth indentation over the anterosuperior surface of urinary bladder.
    No active extravasation of contrast … no Retroperitoneal or intraperitoneal haemorrhage.
    No extension to involve the contralateral rectus muscle.
    Patient is a known case of dengue Haemorrhagic fever with positive serology, thrombocytopenia, increased prothrombin and activated partial thromboplastin time..cause of spontaneous haemorrhage.

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