Revista clínica española
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The 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. ⋯ 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.