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Rectus sheath hematoma mimicking acute splenic disease

par Noseda, André ;Bellens, Roger ;Van Gansbeke, Daniel ;Gangji, Diamon
Référence The American journal of gastroenterology, 78, 9, page (566-568)
Publication Publié, 1983

Article révisé par les pairs

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Résumé :

In patients with hematological malignancies and splenomegaly, acute abdominal pain in the left upper quadrant is highly suspicious of splenic disease (i.e., hematoma, infarction, or rupture). We report the case of a patient with chronic myelogenous leukemia and splenomegaly who presented an unusual abdominal condition causing pain in the left upper quadrant, with a clinical presentation mimicking acute splenic disease. The diagnostic dilemma was resolved by ultrasonography, demonstrating a rectus sheath hematoma.