CT of muscular hematoma
Main risk factors are:
- Hypocoagulability, such as anticoagulant medication
Choice of modality
- Ultrasonography of muscular hematoma is generally the initial choice in younger patients to confirm a strongly suspected hematoma.
- CT of muscular hematoma is generally the initial choice in acute abdominal pain.
- In suspected bone fracture, X-ray of fractures is generally the initial choice.
For follow-up of a known muscular hematoma, it is sufficient to perform CT without IV contrast.[notes 2] If detection of contrast extravasation or active bleeding is specifically requested, an arterial phase contrast CT is preferred.
- If contrast CT, any visible contrast leakage
- For a full list of contributors, see article Radlines:Authorship for details. . Creators of images are attributed at the image description pages, seen by clicking on the images. See
- A contrast CT can detect extravasation of contrast material, but this does not seem to be correlated to clinical severity, as evidenced from rectus sheath and iliopsoas hematomas.
- Landecy, Marie; Paquette, Brice; Revel, Lucie; Behr, Julien; Badet, Nicolas; Delabrousse, Eric (2016). "Does IV contrast extravasation on CT in anticoagulant-related rectus sheath and iliopsoas hematoma predict hematoma expansion and patient outcomes? ". Abdominal Radiology 41 (11): 2241–2247. doi:10.1007/s00261-016-0818-4. ISSN 2366-004X.
- B. Lee DE, Ahn JY, Moon S (2017). "A Case of Rectus Sheath Hematoma with Spontaneous Inferior Epigastric Artery Injury Treated Successfully by Angio-embolization ". jksem 28 (4). Archived from the original. .