Conservative treatment of giant abdominal wall hematoma [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2004; 10(2): 141-144

Conservative treatment of giant abdominal wall hematoma

Nurdan Ergün1, Arif Alper Çevik2, C. James Holliman3, Metin Manisalı4, Feyzullah İnan1, Tahsin Sarısoy4
1Departments of Emergency Medicine and Medicine Faculty of Dokuz Eylül University, İzmir, Turkey
2Department of Emergency Medicine, Medicine Faculty of Osmangazi University, Eskişehir, Turkey
3Center For International Emergency Medicine, Hershey Medical Center, Hershey, Pa, Usa
4Departments of Radiology, Medicine Faculty of Dokuz Eylül University, İzmir, Turkey

A fifty-seven-year-old male patient on warfarin therapy presented to the emergency department with severe abdominal pain that
had started after a cough episode and persisted for four days. Ultrasonography showed an extensive hematoma, 17x14x7 cm
in size, but failed to determine whether it was located intraabdominally or in the abdominal wall. Computed tomography confirmed the diagnosis of abdominal wall hematoma (25x21x10 cm). The patient was treated conservatively, and abdominal findings esolved progressively in three days. This case report illustrates that ultrasonography findings may sometimes be inconclusive and, in the early period, computed tomography may be required to confirm the diagnosis of abdominal wall hematomas. Giant abdominal wall hematomas can be successfully treated with conservative methods even physical findings of acute abdomen accompany the clinical picture. To our knowledge, this is the largest abdominal wall hematoma hitherto reported in the literature.



Konservatif tedavi ile iyileşen dev karın duvarı hematomu

Nurdan Ergün1, Arif Alper Çevik2, C. James Holliman3, Metin Manisalı4, Feyzullah İnan1, Tahsin Sarısoy4
1Departments Of Emergency Medicine And Medicine Faculty Of Dokuz Eylül University, İzmir, Turkey
2Department Of Emergency Medicine, Medicine Faculty Of Osmangazi University, Eskişehir, Turkey
3Center For International Emergency Medicine, Hershey Medical Center, Hershey, Pa, Usa
4Departments Of Radiology, Medicine Faculty Of Dokuz Eylül University, İzmir, Turkey



Nurdan Ergün, Arif Alper Çevik, C. James Holliman, Metin Manisalı, Feyzullah İnan, Tahsin Sarısoy. Conservative treatment of giant abdominal wall hematoma. Ulus Travma Acil Cerrahi Derg. 2004; 10(2): 141-144


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