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Rectus Abdominis Muscle Tear
 

Author: David Ross, MD
Affiliation: Ross Medical Group, Miami, Florida.
Co Author(s): Mehak Sharma, MD. Department of Internal Medicine, FIU Herbert Wertheim College of Medicine; Bruce W. Carter VA Medical Center, Miami, Florida. Jackson Memorial Hospital, Miami, Florida.
Senior Editor: Drew Duerson, MD

Clinical Vignette: A 48-year-old male presents with acute abdominal pain after a snowboarding injury. While going downhill, his snowboard "caught an edge" in the snow and his body continued forward causing a sudden hyperextension of the torso. The patient had immediate onset of pain, which persists and is exacerbated by maneuvers that increase intra-abdominal pressure, including sneezing, coughing, Valsalva maneuver. On physical exam, there is tenderness to palpation in the left lower quadrant and over the left lower abdominal muscles into the suprapubic region.

Type of Probe Used: 8-12 MHz Linear Transducer



Labeled short axis view of the left rectus abdominis demonstrates a deep partial thickness tear with a large hypoechoic, fluid filled gap consistent with intramuscular hematoma.


Unlabeled panoramic short axis view of the left rectus abdominis.


Labeled panoramic short axis view of the left rectus abdominis demonstrates a deep partial thickness tear with a large hypoechoic, fluid filled gap consistent with intramuscular hematoma, with an intact right rectus abdominis for comparison.


Unlabeled short axis view of the left rectus abdominis.


Labeled panoramic long axis view of the left rectus abdominis demonstrates a distal deep partial thickness muscle tear with a large hypoechoic fluid filled defect consistent with intramuscular hematoma.


Labeled long axis view of the left rectus abdominis demonstrates a distal deep partial thickness muscle tear with a large hypoechoic fluid filled defect consistent with intramuscular hematoma.


Unlabeled panoramic long axis view of the left rectus abdominis.


Unlabeled long axis view of the left rectus abdominis.

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