title: Spontaneous rectus sheath hematoma.
abstract: Abdominal wall pathology is a frequently overlooked cause of acute abdomen. Increasing use of antiplatelet and anticoagulant therapies has led to an increase in the incidence of spontaneous rectus sheath hematoma (RSH). A high index of suspicion is needed for diagnosis as it can closely mimic other causes of acute abdomen. Herein, we report a case of RSH presenting with abdominal pain in which there was a significant delay in diagnosis. We wish to highlight the need to increase awareness among primary and emergency physicians about considering RSH in the initial differential diagnoses of abdominal pain.
authors.affiliation: Creighton University Medical Center, Department of Internal Medicine, Omaha, NE.
authors.forename: Venkata M
authors.initials: VM
authors.lastname: Alla
authors.forename: Showri M
authors.initials: SM
authors.lastname: Karnam
authors.forename: Manu
authors.initials: M
authors.lastname: Kaushik
authors.forename: Joann
authors.initials: J
authors.lastname: Porter
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