title: Rectus sheath hematoma mimicking acute splenic disease.
abstract: In patients with hematological malignancies and splenomegaly, acute abdominal pain in the left upper quadrant is highly suspicious of splenic disease (i.e., hematoma, infarction, or rupture). We report the case of a patient with chronic myelogenous leukemia and splenomegaly who presented an unusual abdominal condition causing pain in the left upper quadrant, with a clinical presentation mimicking acute splenic disease. The diagnostic dilemma was resolved by ultrasonography, demonstrating a rectus sheath hematoma.
mesh_terms: D000009:Abdominal Muscles; D000208:Acute Disease; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000175:diagnosis*; D006801:Humans; D007951:Leukemia, Myeloid / Q000150:complications; D008875:Middle Aged; D009135:Muscular Diseases / Q000175:diagnosis; D013158:Splenic Diseases / Q000175:diagnosis*; D013163:Splenomegaly / Q000150:complications; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography