Table 2: Diagnostic classification of rectus sheath hematoma [18].

GradeDescriptionManagement

Grade
I—mild
Intramuscular, unilateral, and does not dissect along fascia adjacent to the rectus muscle Observation

Grade II—moderateIntramuscular, dissects along adjacent fascia, may involve bilateral rectus muscles but without extension into the prevesical spaceAnticoagulation reversal

Grade III—severe Dissects along the fascia and extends into the peritoneum and the prevesical space.Anticoagulation reversal
Blood product administration