Abstract

GARCIA-MAYOR FERNANDEZ, Ricardo Lucas; FERNANDEZ GONZALEZ, María; DIAZ CARDAMAS, Pablo  and  MARTINEZ-ALMEIDA FERNANDEZ, Rafael. Spontaneous rectus abdominis hematoma in anticoagulated patient. Rev Cubana Cir [online]. 2017, vol.56, n.4, pp. 1-6. ISSN 1561-2945.

The abdominal wall spontaneous hematoma is an uncommon condition, according to the literature. In recent years, however, this tendency is changing due to the increased number of indications for anticoagulation, and the emerging of new anticoagulant treatment, and the increase in the number of patients who need it. Male patient, 80, carrier of a pacemaker for blocked atrial fibrillation and mechanical mitral prosthesis, anticoagulated with acenocoumarol, who presents acute abdominal pain secondary to spontaneous hematoma of the abdominal wall. He was treated conservatively, reversing anticoagulation and administering analgesia, with favorable evolution finally. This clinical case shows a type of pathology to keep in mind, as part of the differential diagnosis of acute abdominal pain in the anticoagulated patient, who, in most cases, respond to conservative treatment.

Keywords : hematoma anterior rectus abdominis; acute abdomen; anticoagulation.

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