Open AccessSonographic demonstration of a spontaneous rectus sheath hematoma following a sneeze: a case report and review of the literature
Author(s) -
Giulio Cocco,
Vincenzo Ricci,
Andrea Boccatonda,
Luisa Stellin,
Gianmaria De Filippis,
Maurizio Soresi,
Cosima Schiavone
Publication year - 2020
Publication title -
journal of ultrasound
Language(s) - English
Resource type - Journals
eISSN - 1971-3495
pISSN - 1876-7931
DOI - 10.1007/s40477-020-00493-4
Subject(s) - medicine , rectus sheath , hematoma , abdominal wall , anticoagulant therapy , surgery , abdominal pain , ultrasound , anticoagulant , physical examination , lower abdominal pain , acute abdominal pain , radiology
Spontaneous rectus sheath hematoma (SRSH) is an uncommon cause of acute abdominal pain characterized by bleeding within the rectus sheath; it is a benign condition and, in most cases, it is treated conservatively. Bleeding of the abdominal wall is an unusual condition that is quite challenging to identify promptly and can be easily overlooked during a routine physical examination. In daily practice, anticoagulant therapy is one of the main risk factors for hemorrhagic events. In this respect, we report a rare case of spontaneous hematoma of the abdominal wall (diagnosed and monitored through an ultrasound examination) that arose after sneezing in a patient receiving anticoagulant treatment.