January 1970

Hematoma of the Rectus Abdominis Muscle

Author Affiliations

Istanbul, Turkey
From the First Surgical Clinic, University of Istanbul Medical School, Istanbul, Turkey. Dr. Alican is presently at the University of Mississippi Medical Center, Jackson.

Arch Surg. 1970;100(1):8-10. doi:10.1001/archsurg.1970.01340190010004

This condition was originally described as a clinical entity by Richardson1 in 1857. More than a century later Jones and Merendino found reports of 250 such cases in the world literature and reported four cases of their own.2 Recently, several more cases have been described by various groups of authors.3-7 However, timely diagnosis is still a challenge for the clinician because it appears that at least 80% of cases are diagnosed retrospectively. We believe, therefore, contribution of another report on the subject with a discussion of pertinent points might help the clinician to recall this entity in the differential diagnosis of a variety of acute abdominal conditions which it does mimic.

Report of a Case  A 62-year-old woman was admitted to our emergency service with the complaint of a tender mass in the left inguinal area. She had a cold for ten days with severe coughing spells.

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