Spontanoeus Lateral Abdominal Wall Hematoma As A Complication Of Coughing :Case Report And Literature Review

Abstract

ARTICLE INFO ABSTRACTSpontaneous abdominal wall hematoma is a rare condition. In this report, we present a case of a 68 Year-old female with right lower abdominal pain. Moderate soft tissue swelling was palpated in the lateral abdominal wall that was noticed after coughing by the patient. The patient had no bleeding diathesis and did not use any medication. Abdominal computerized tomography revealed a 7x4.5 cm hematoma in the right lateral abdominal wall. The patient has no predisposing factor can be an only reason of lateral abdominal wall hematoma without coughing.

Spontaneous Abdominal Wall Hematoma: A Rare Case Report with Review of Literature

“…The loose attachment of the branches of inferior epigastric artery to the muscle puts it under stretch during strong muscular contractions. Moreover, cases with vascular degeneration are further prone to vessel rupture even with mild cough [8]. Superior epigastric artery traverses the abdominal wall between posterior sheath and rectus muscle until it anastomoses with the inferior epigastric artery at the level of umbilicus.…”

“…There are many predisposing factors known to cause rectus sheath hematoma viz. anticoagulants, coughing [8], sneezing, lifting heavy weight, straining at stools or micturition, abdominal wall trauma, previous or recent abdominal surgery, subcutaneous injection, cardiovascular disease and pregnancy. Out of these, most common factor is anticoagulant therapy.…”

Lateral Abdominal Wall Hematoma Mimicking Aortic Dissection Presentation: A Case Report

“…Lateral abdominal wall hematoma is a rare re-occurrence. It is located within the muscle structures that can be contained by the facia or diffuse onto the peritoneal or retroperitoneal space [ 1 , 2 ]. The classic presentation is acute abdominal pain with a tender abdominal mass [ 1 , 3 ].…”

“…It is located within the muscle structures that can be contained by the facia or diffuse onto the peritoneal or retroperitoneal space [ 1 , 2 ]. The classic presentation is acute abdominal pain with a tender abdominal mass [ 1 , 3 ]. It can mimic different abdominal pathologies such as appendicitis, diverticulitis, perforated ulcer, and incarcerated hernia, as well as genitourinary and gynecological emergencies [ 1 ].…”

“…The classic presentation is acute abdominal pain with a tender abdominal mass [ 1 , 3 ]. It can mimic different abdominal pathologies such as appendicitis, diverticulitis, perforated ulcer, and incarcerated hernia, as well as genitourinary and gynecological emergencies [ 1 ]. This case report describes the unique presentation of the lateral abdominal wall hematoma that masqueraded as an aortic dissection (AD), a life-threatening emergency.…”