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- A Pelayo Salas, M C Garcés Guallart, R Solá Martí, J Viñas Salas, and L Pérez Ruiz.
- Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Arnau de Vilanova, Lleida.
- Rev Clin Esp. 1999 Oct 1;199(10):647-9.
AbstractThe spontaneous hematoma of rectus abdominis sheath is a rare condition which usually presents as acute abdomen. We report our experience with 19 patients, most of them on treatment with oral anticoagulants. The most common symptoms were abdominal pain and palpable tumor. Twenty-six percent required blood transfusion. Echography and computerized tomography, were useful for diagnosis. Treatment was mainly conservative and was the mode of choice; surgery was left only for those patients who had hemodynamic changes or infection of the hematoma.
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