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Inicio Cirugía Española (English Edition) Sudden onset of abdominal mass
Journal Information
Vol. 92. Issue 7.
Pages e39 (August - September 2014)
Vol. 92. Issue 7.
Pages e39 (August - September 2014)
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Sudden onset of abdominal mass
Masa abdominal de aparición súbita
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Emma Espinar, Andrea Soria, Jaime Jimeno Fraile, David Parés
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David.pares@pssjd.org

Corresponding author.
Servicio de Cirugía General y Digestiva, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
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The patient was a 58-year-old man with a tobacco habit of 20 cigarettes/day, ischemic cardiomyopathy and chronic obstructive pulmonary disease. He came to the Emergency Department due to the sudden appearance of a mass in the right abdomen after a fit of coughing. He was admitted with BP 125/75mmHg and 102bpm, and we observed a large mass in the right flank and hypochondrium during physical examination. The lab work showed hemoglobin 13.3mg/dL and hematocrit 37.29%. A simple abdominal radiograph showed no alterations. Meanwhile, computed tomography of the abdomen with intravenous contrast revealed a large hematoma of the right rectus abdominis muscle sheath measuring 20cm×14cm×70cm with signs of active bleeding (Figs. 1 and 2).

Fig. 1
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Fig. 2
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Please cite this article as: Espinar E, Soria A, Jimeno Fraile J, Parés D. Masa abdominal de aparición súbita. Cir Esp. 2014;92:e39.

Copyright © 2014. AEC
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