DOI: 10.12890/2021_003097

Misdiagnosis of Rectus Abdominis Abscess Owing to Delayed Contrast-Enhanced Computed Tomography

Authors

  • Yuichiro Nagase Department of Internal Medicine, Nagano Chuo Hospital, Nagano, Nagano, Japan
  • Yukinori Harada Department of Internal Medicine, Nagano Chuo Hospital, Nagano, Nagano, Japan; Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, Japan

y.nagase28@gmail.com

Keywords

Contrast-enhanced computed tomography, primary rectus abdominis abscess, primary rectus abdominis haematoma

Abstract

A 77-year-old man, who was on anticoagulation, presented with a painful lump on the right abdominal wall. Laboratory tests showed slight anaemia and elevated inflammatory markers. Abdominal plain computed tomography (CT) revealed a mass in the right rectus abdominis muscle. He was admitted with a diagnosis of primary rectus abdominis haematoma. However, on the next day, the diagnosis was corrected to primary rectus abdominis abscess, following contrast-enhanced CT of the abdomen. This case illustrates the importance of considering primary rectus abdominis abscess in patients with suspected primary rectus abdominis haematoma, and contrast should be used when performing CT.

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References

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Published

2021-12-30

Issue

Vol. 8 No. 12 (2021)

How to Cite

1.
Nagase Y, Harada Y. Misdiagnosis of Rectus Abdominis Abscess Owing to Delayed Contrast-Enhanced Computed Tomography. EJCRIM [Internet]. 2021 Dec. 30 [cited 2026 Nov. 3];8(12). Available from: https://ejcrim.com/index.php/ejcrim/article/view/3097

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