CASE REPORT   

Chirurgia 2022 December;35(6):373-6

DOI: 10.23736/S0394-9508.21.05345-6

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Urological symptoms as the initial presentation of a spontaneous rectus sheath hematoma

Kim PAUWAERT ^{1, 2} ✉, Emilia FRANÇOIS ³, Marieke DE VISSCHERE ²

¹ Department of Urology, University Hospital of Ghent, Ghent, Belgium; ² Department of General Surgery, Sint Vincentius Hospital, Deinze, Belgium; ³ Faculty of Medicine and Health Science, University of Ghent, Ghent, Belgium

This case presents a large RSH initially presenting with urological symptoms in a 59-year-old woman with a history of gastric bypass and abdominoplasty, who is known with an APC resistance for which she is treated with warfarin 5 mg daily. This case is a clear example of a rare urological presentation of RSH as the patient first presented with an atypical presentation which mimics the clinical presentation of a passed urolithiasis. Clinically, only suprapubic pain and silentious hematuria were present, and no significant abnormalities in laboratory investigations or CT-scan were present.

KEY WORDS: Urology; Hematoma; Rectus abdominis