Rectus sheath hematoma Quiz: Ace Your Exams
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A 57-year-old woman is brought to the emergency department following a motor vehicle accident. The patient was driving on the highway and was rear-ended by another vehicle. She is experiencing left sided abdominal pain rated as a seven out of ten in severity. Medical history is notable for hypertension and a recently diagnosed deep vein thrombosis which is being treated with apixaban. Temperature is 37.0°C (98.6°F), blood pressure is 163/99 mmHg, and pulse is 80/min. Physical examination reveals bruising and a painful non-pulsatile mass in the left upper abdominal wall. There is no evidence of head or neck injury, and there is no tenderness to palpation along the spine. CT imaging of the abdomen and pelvis reveals the findings seen below. Which of the following is the most likely cause of this patient’s presentation?
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