PMC5568873_01
(A): Normal chest x ray at admission; (B): Massive pleural effusion of the right lung on the seventh day of hospitalization.
gr1.jpg
PMC5568873_01_gr1.jpg
fig0005
Chest X-ray showed massive pleural effusion of the right lung (Fig. 1A and B).
Cullen's Sign on lower abdomen.
gr2.jpg
PMC5568873_01_gr2.jpg
fig0010
On physical examination, there was a palpable, painful, firm, and nonpulsatile mass in the lower abdominal region with the size of approximately 9 cm x 6 cm that was positive for Cullen's sign (Fig. 2).
Abdominal MRI with contrast at diagnosis of RSH.
gr3.jpg
PMC5568873_01_gr3.jpg
fig0015
Abdominal MRI scan with contrast result showed a mixed cystic solid lesion with a hyperintense rim on T1 and T2 at the right lower abdominal rectus sheath muscle measuring 11 x 7 x 3 cm (Fig. 3).