Rectus sheath hematoma.

The article describes the case of a 65-year old male patient with a medical history of COPD, hypertension, type 2 diabetes mellitus and stage 3A chronic kidney disease and was diagnosed with rectus sheath hematoma (RSH). The patient demonstrated cardiomegaly, progressive abdominal pain, ecchymosis, abdominal distension and metabolic acidosis. The clinical presentation and classification of RSH, complications, common signs and symptoms, and treatment are discussed.