Spontanoeus Lateral Abdominal Wall Hematoma As A Complication Of Coughing :Case Report And Literature Review

Spontaneous abdominal wall hematoma is a rare condition. In this report, we present a case of a 68 Year-old female with right lower abdominal pain. Moderate soft tissue swelling was palpated in the lateral abdominal wall that was noticed after coughing by the patient. The patient had no bleeding diathesis and did not use any medication. Abdominal computerized tomography (CT) revealed a 7x4.5 cm hematoma in the right lateral abdominal wall. The patient has no predisposing factor can be an only reason of lateral abdominal wall hematoma without coughing

___

  • Adeonigbagbe, O., Khademi, A., Karowe, M., Gualtieri, N., Robilotti, J., 2000. Spontaneous rectus sheath hematoma and an anterior pelvic hematoma as a complication of anticoagulation. Am. J. Gastroenterol. 95, 314-315.
  • Bene, J., Lassman, D., Solomon, S.A., 1998. Rectus sheath haematoma in elderly patients: a diagnostic challenge. Age Ageing. 27, 512-514.
  • Berná, J.D., Garcia-Medina, V., Guirao, J., Garcia-Medina, J., 1996. Rectus sheath hematoma: diagnostic classification by CT. Abdom. Imaging. 21, 62-64.
  • Casey, R.G., Mahmoud, M., Carroll, K., Hurley, M., 2000. Rectus sheath haematoma: an unusual diagnosis. Ir. Med. J. 93, 90–92.
  • Chi-Ming, T., Kao-Lang, L., Chieh-Chang, C., 2005. Lateral abdominal wall hematoma due to tear of internal abdominal oblique muscle in a patient under warfarin therapy. Am. J. Emerg. Med. 23,911–912.
  • Dubinsky IL. 1997. Hematoma of the rectus abdominis muscle: case report and review of the literature. J. Emerge. Med. 15,165-167.
  • Fukuda, T., Sakamoto, I., Kohzaki, S., Uetani, M., Mori, M., Fujimoto, T., Hayashi, K., Matsuo, S., 1996. Spontaneous rectus sheath hematomas: clinical and radiological features. Abdom. Imaging. 21, 58-61.
  • Ikubo, A., Komura, M., Matoba, N., Fujii, T., Satoh, K., Masuda, H., 1993. Lumbar artery pseudoaneurysm: an unusual cause of a retroperitoneal hematoma: report of a case. Surg. Today. 23, 635–638.
  • Ishihara, S., Yasuhara, H., Ogawa, S., Muto, T., 2000. Successful surgical treatment for spontaneous retroperitoneal hematoma in polycythemia vera: report of a case. Surg. Today. 30, 199-201.
  • Katsumari, T., Nakajima, K., 1998. A case of spontaneous hemorrhage of the abdominal wall caused by the rupture of a deep iliac circumflex artery treated by transcatheter arterial embolization. Eur. Radiol. 8,550–552. 37