title: Spontaneous rectus sheath hematoma: an unusual cause of gross hematuria.
abstract: The diagnosis of a spontaneous rectus sheath hematoma, even in anticoagulated patients, requires a high index of suspicion. Gross hematuria is also not infrequent in anticoagulated patients. Although urinary symptoms from a rectus sheath hematoma have been described, generally it would not be considered a common cause of gross hematuria in this population. We report here on 2 cases of spontaneous rectus sheath hematoma spontaneously fistulizing into the bladder and causing gross hematuria.
authors.affiliation: Division of Urology, Department of Surgery, Maine Medical Center, Portland, ME. Electronic address: sandoo@mmc.org.
authors.forename: Otto
authors.initials: O
authors.lastname: Sandoval
authors.forename: Thomas
authors.initials: T
authors.lastname: Kinkead
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006406:Hematoma / Q000150:complications*; D006417:Hematuria / Q000209:etiology; D006801:Humans; D012002:Rectal Diseases / Q000150:complications*; D001747:Urinary Bladder Fistula / Q000150:complications*