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Abstract
- 1.1. Because they are infrequently encountered, ruptures of the rectus abdominis muscle and the deep epigastric arteries have posed a diagnostic problem. Of the 101 cases reported in the last seven years, only twenty-two were correctly diagnosed.
- 2.2. It is only by coincidence that almost 50 per cent of the cases in this series have occurred in pregnant women. Nevertheless, the five maternal and twelve fetal deaths emphasize the seriousness of these lesions and the importance of a prompt diagnosis.
- 3.3. A correct diagnosis will lead to the intelligent management of these accidents and will depend upon: (1) an awareness of the occurrence of these lesions; (2) careful attention to the patient's history of even the most trivial incident of trauma; (3) the presence of a hard, tender mass fixed in the abdominal wall, confined to the limits of the rectus sheath, and in late cases the presence of ecchymosis about the umbilicus.
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References
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© 1953 Published by Elsevier Inc.
