[A spontaneous hematoma of the rectus abdominis sheath].
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. 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.
Pelayo Salas
A
A
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Arnau de Vilanova, Lleida.
Garcés Guallart
M C
MC
Solá Martí
R
R
Viñas Salas
J
J
Pérez Ruiz
L
L
D000006:Abdomen, Acute / Q000175:diagnosis; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006406:Hematoma / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000175:diagnosis* / Q000209:etiology; D017568:Rectus Abdominis / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Hematoma espontáneo de la vaina de los rectos.