• Cir Cir · Nov 2010

    Case Reports

    Rectus sheath hematoma of the abdomen. Case report.

    • José Francisco Villena-Tovar.
    • Departamento de Cirugía General, Hospital General de Cadereyta de Montes, Servicios de Salud del Estado de Querétaro, Cadereyta de Montes, Querétaro, México. fco_villena@hotmail.com.mx
    • Cir Cir. 2010 Nov 1; 78 (6): 538-40.

    BackgroundRectus sheath hematoma in the vast number of cases is due to an inferior epigastric artery tear occasionally due to trauma (not considered serious) or alterations in coagulation or use of anticoagulant therapy. It is an unlikely and difficult to diagnose pathology.Clinical CaseWe present the case of a 61-year-old female patient. The patient presented in emergency service with sudden abdominal pain caused by coughing as a result of an upper respiratory tract infection. The culmination was a spontaneous rectus sheath hematoma.ConclusionsRectus sheath hematoma is a diagnosis to consider in a previously asymptomatic patient who presents with clinical features of acute pain and appearance of increase of volume in the abdominal wall involving the rectus muscles.

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