title: Ultrasound-guided percutaneous drainage of a traumatic abdominal wall hematoma in the emergency department.
abstract: BACKGROUND
  Abdominal wall hematoma is due to trauma, coagulation disorders or anticoagulation therapy complications.
  
  
  METHODS
  In this report we present a case of a 44-year-old female who suffered from blunt abdominal trauma and presented to the emergency department with sharp abdominal pain and ecchymosis. FAST and abdominal computerized tomography (CT) revealed an abdominal wall hematoma. Treatment with an ultrasound-guided percutaneous drainage was performed successfully.
  
  
  RESULTS
  The patient remained under observation for six hours with serial ultrasound scans, and no signs of hematoma recurrence were present. She was discharged the same day with clinical improvement.
  
  
  CONCLUSIONS
  Complete history investigation and clinical examination help to make a correct diagnosis of abdominal wall hematoma, select a prompt treatment, and reduce complications.
authors.affiliation: Emergency Department, Las Vegas Clinica, Medellin, Colombia.
authors.forename: Laura
authors.initials: L
authors.lastname: Trujillo
authors.affiliation: Emergency Department, Las Vegas Clinica, Medellin, Colombia.
authors.forename: Sara
authors.initials: S
authors.lastname: Naranjo
authors.affiliation: Emergency Department, Las Vegas Clinica, Medellin, Colombia.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Cardozo
authors.affiliation: Emergency Department, Las Vegas Clinica, Medellin, Colombia.
authors.forename: Bryan
authors.initials: B
authors.lastname: Alvarez
keywords: Abdominal wall hematoma; Emergency Department; FAST; Rectus sheath hematoma; Ultrasound guided percutaneous drainage