[症例報告]Spontaneous hematoma of the rectus abdominis muscle : A case report

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A case of hematoma of the rectus abdominis muscle in a 64-year-old female is described. After a one-month tour to South America, the patient was admitted to a local hospital because of nausea, fever and swelling with rest pain of the left leg, and referred to the University Hospital. She had a soft, dome-shaped mass 5cm in diameter in the left lower quadrant of the abdomen. The diagnostic modalities including US, CT and MRI demonstrated a cystic mass of 8×7cm in size in the abdominal wall. However the diagnosis was inconclusive. On the surgery, a dome-shaped hematoma was found in the rectus sheath and between the bladder and the left femoral vein. The histological microscopic examination of the removed mass revealed a hematoma. The patient has been doing well 1.5years after the surgery.

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