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Syndrome of the rectus abdominis muscle mimicking the acute abdomen

✍ Scribed by George S Hughes Jr; Edward L Treadwell; Jeffrey Miller

Publisher
Elsevier Science
Year
1985
Tongue
English
Weight
213 KB
Volume
14
Category
Article
ISSN
1097-6760

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✦ Synopsis

syndromes, rectus abdominis muscle; trauma, rectus abdominis muscle

Syndrome of the Rectus Abdominis Muscle Mimicking the Acute Abdomen

The syndrome of the rectus abdominis muscle is a disorder of unknown etiology that produces rupture or tear of the epigastric artery, and stretches the rectus cutaneous medialis nerve, producing excruciating pain. The disorder is misdiagnosed in 60% to 93% of cases. We report two cases that presented as acute abdomen. One helpful diagnostic test was the lidocaine test, accomplished by subcutaneous injection of lidocaine into the sheath of the rectus abdominis muscle near the rectus cutaneous medialis nerve; the procedure provided immediate pain relief and the patients remained asymptomatic. In addition to helping establish a diagnosis quickly the lidocaine test may spare the patient the unnecessary morbidity or mortality of more invasive procedures.

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