<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032017000300221</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hematoma de la vaina de los rectos abdominales]]></article-title>
<article-title xml:lang="en"><![CDATA[Rectus sheath hematoma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Funes Rodríguez]]></surname>
<given-names><![CDATA[Juan Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camarena Martínez]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magaña Reyes]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Carrillo]]></surname>
<given-names><![CDATA[Luis Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles León División de Cirugía ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles León División de Cirugía ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles León Departamento de Imagenología ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Guanajuato Facultad de Medicina de León ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>15</volume>
<numero>3</numero>
<fpage>221</fpage>
<lpage>224</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032017000300221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032017000300221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032017000300221&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes:  El hematoma de la vaina de los músculos rectos abdominales es una causa poco frecuente de dolor abdominal; requiere de un diagnóstico acucioso que evita realizar laparotomía.  Caso clínico:  Paciente masculino de 40 años, quien al estar jugando balón-pie y realizar bruscamente hiperextensión tóraco-lumbar presentó de manera repentina dolor abdominal pungitivo en hipogastrio y tercio interno de ingle derecha, que le imposibilitó para continuar con su actividad. El dolor se incrementó requiriendo valoración por cirugía y encontrando: abdomen en madera, Blumberg positivo y análisis de laboratorio normales; el ultrasonido abdominal demostró hematoma en vaina de los rectos abdominales tipo II. Se manejó conservadoramente, requiriendo 60 días para poder efectuar ejercicios abdominales.  Conclusiones:  El hematoma de vaina de los rectos es un cuadro poco frecuente, pero debe ser parte del diagnóstico diferencial de dolor abdominal en los servicios de urgencias, pues su detección evita laparotomías innecesarias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background: Sheath hematoma of the rectus abdominis muscle is a rare cause of abdominal pain. It requires a careful diagnosis, which avoid laparotomy.  Case report: A 40-year-oldmale playing football, performs an abruptly thoracolumbar hyperextension, presenting immediately a severe and sharp abdominal pain in lower abdomen and inner third of right groin, which made him impossible to continue the activity. Patient required surgery evaluation, finding: signs of local peritoneal irritation with rebound tenderness and involuntary guarding. Abdominal ultrasound showed hematoma in the rectus abdominis sheath type II. It was managed conservatively requiring 60 days to perform abdominal exercises.  Conclusions: The hematoma rectus sheath, is an uncommon cause of abdominal pain, but should be part of the differential diagnosis of abdominal pain in emergency departments because diagnosis avoids unnecessary laparotomy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hematoma]]></kwd>
<kwd lng="es"><![CDATA[músculos rectos abdominales]]></kwd>
<kwd lng="en"><![CDATA[Sheath hematoma]]></kwd>
<kwd lng="en"><![CDATA[rectus abdominis muscles]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Rupture of the right rectus abdominis muscle from muscular efforts operation and recovery, with remarks]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Richardson]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Med Sci]]></source>
<year>1857</year>
<volume>33</volume>
<page-range>41-5</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The deep epigastric artery rectus muscle syndrome]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[TW]]></given-names>
</name>
<name>
<surname><![CDATA[Merendino]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Surg]]></source>
<year>1962</year>
<volume>103</volume>
<page-range>159-69</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Rectus sheath hematoma review of 126 cases at a single institution]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cherry]]></surname>
<given-names><![CDATA[WB]]></given-names>
</name>
<name>
<surname><![CDATA[Mueller]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
</person-group>
<source><![CDATA[Medicine (Baltimore)]]></source>
<year>2006</year>
<volume>85</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>105-10</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evaluation of risk factors for rectus sheath hematoma]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sheth]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[DiNella]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Janov]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Kaldas]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Appl Thromb Hemost]]></source>
<year>2016</year>
<volume>22</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>292-6</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Rectus abdominis muscle strains in tennis players]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maquirriain]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ghisi]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Kokalj]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<source><![CDATA[Br J Sports Med]]></source>
<year>2007</year>
<volume>41</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>842-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Rectus sheath hematoma a review of the literature]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hatjipetrou]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Anyfantakis]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kastanakis]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Int J Surg]]></source>
<year>2015</year>
<volume>13</volume>
<page-range>267-71</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Hemorrhagic shock and obstructive uropathy due to a large rectus sheath hematoma in a patient on anticoagulant therapy]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toyonaga]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Tsuruya]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Masutani]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Maeda]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Nakamura]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Taniguchi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Intern Med]]></source>
<year>2009</year>
<volume>48</volume>
<numero>24</numero>
<issue>24</issue>
<page-range>2119-22</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Ultrasound diagnosis of rectus sheath hematoma]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lewiss]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[J Emerg Med]]></source>
<year>2012</year>
<volume>43</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>e337-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Rectus sheath hematoma diagnostic classification by CT]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berná]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia-Medina]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Guirao]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia-Medina]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Abdom Imaging]]></source>
<year>1996</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>62-4</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Imaging patients with acute abdominal pain]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stoker]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[van Randen]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Laméris]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Boermeester]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<source><![CDATA[Radiology]]></source>
<year>2009</year>
<volume>253</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>31-46</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Management of patients with rectus sheath hematoma personal experience]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Buffone]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Basile]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Costanzo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Veroux]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Terranova]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Basile]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[J Formos Med Assoc]]></source>
<year>2015</year>
<volume>114</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>647-51</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Diagnostic performance of serial haematocrit measurements in identifying major injury in adult trauma patients]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zehtabchi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sinert]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Goldman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kapitanyan]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Ballas]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Injury]]></source>
<year>2006</year>
<volume>37</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>46-52</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Conservative treatment of large rectus sheath hematoma in patients undergoing anticoagulant therapy]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berná]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Zuazu]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Madrigal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[García-Medina]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Guirado]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Abdom Imaging]]></source>
<year>2000</year>
<volume>25</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>230-4</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Rectus sheath hematoma in a single secondary care institution a retrospective study]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anyfantakis]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kastanakis]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Petrakis]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Bobolakis]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Hernia]]></source>
<year>2015</year>
<volume>19</volume>
<page-range>509-12</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
