Department of General Medicine, Sunagawa City Medical Center, Japan.
Division of Public Health, Center for Community Medicine, Jichi Medical University, Japan.
Intern Med. 2024 Jul 15;63(14):2097-2100. doi: 10.2169/internalmedicine.2845-23. Epub 2023 Nov 27.
Spontaneous abdominal wall hematoma is a relatively uncommon condition triggered by various factors, including anticoagulation therapy and trauma. However, reports of unprovoked cases without anticoagulants that recur shortly after treatment are limited. We herein report an elderly woman who had been prescribed corticosteroids and experienced early recurrence of hematoma following treatment, with no discernible triggers. This case highlights the possibility that patients with underlying predisposing factors may experience early hematoma recurrence at the same site, even in the absence of apparent triggers. Clinicians should monitor these patients to promptly identify and address potential recurrences.
自发性腹壁血肿是一种相对少见的病症，由多种因素引起，包括抗凝治疗和创伤。然而，在没有抗凝剂的情况下，治疗后不久就会反复出现自发性腹壁血肿的报告较为有限。本文报告了一例老年女性，在接受治疗后不久，在没有明显诱因的情况下，血肿早期复发，此前曾服用过皮质类固醇。本病例提示，即使没有明显诱因，存在潜在诱发因素的患者也可能在同一部位出现血肿早期复发。临床医生应密切监测这些患者，以便及时发现和处理潜在的复发。
