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December 3, 1932


Author Affiliations

New York

From the Surgical Service of St. Luke's Hospital.

JAMA. 1932;99(23):1943-1944. doi:10.1001/jama.1932.27410750003012c

Three distinct groups of cases of hematoma of the abdominal wall have been reported in the literature:

  • Occurring in adults, the result of direct violence or some sudden force.1

  • Occurring in pregnant women, the result of coughing or sneezing, or unusual strain at the time of delivery.2

  • Occurring in elderly women, with no known etiology.3

A careful view of these groups, with special reference to the latter group, is given by Halperin.3 The second group is relatively rare. The first classification has received little attention recently, but a goodly number were earlier reported by European military surgeons.

REPORT OF CASE  The case reported herewith falls into the first group:J. H., a man, aged 28, admitted to St. Luke's Hospital, June 27, 1928, complained chiefly of severe colicky pain in the right lower quadrant of the abdomen of eight hours' duration. The pain came on early in the afternoon