O hematoma espont?neo do m?sculo reto abdominal ?
uma condi??o rara, - 1/10.000 de todas as urg?ncias -
causado pelo ac?mulo de sangue em sua pr?pria bainha
muscular por causa de rompimento dos vasos epig?stricos
ou por les?o da pr?pria musculatura. O presente estudo
tem o objetivo de relatar um caso de hematoma
espont?neo do m?sculo reto abdominal raro e discorrer
sobre suas poss?veis aplica??es cl?nicas. Este artigo relata
um caso de uma mulher de 47 anos que deu entrada no
Hospital P?blico Regional de Betim Osvaldo Rezende
Franco (HPRB) apresentando intensa dor abdominal e
equimose epig?strica com achados de hematoma na
bainha do m?sculo reto do abdome em exames de
imagem. A paciente foi submetida a tratamento
convencional ap?s tomografia computadorizada de
abdome superior evidenciar a afec??o. Ressalta-se a
import?ncia do reconhecimento do quadro na pr?tica
cl?nica, pois sua semelhan?a com outras condi??es
abdominais agudas pode levar a interven??es cir?rgicas
desnecess?rias.The Spontaneous hematoma of the rectus abdominis muscle
is a rare condition -1 / 10,000 of all urgencies - caused by the
accumulation of blood in its own muscular sheath due to the
rupture of the epigastric vessels or injury of the musculature
itself. The present study aims to report a rare case of
spontaneous hematoma of the rectus abdominis muscle and to
discuss its possible clinical applications. This article reports a
case of a 47-year-old woman who was admitted at Regional
Public Hospital of Betim Osvaldo Rezende Franco (HPRB)
presenting severe abdominal pain and epigastric ecchymosis
with hematoma findings in the sheath of the rectus abdominis
muscle at imaging examinations. The patient was submitted
to conventional treatment after computed tomography of the
upper abdomen evidenced the condition. Therefore, it is
important to recognize the clinical picture in clinical practice,
since its similarity with other acute abdominal conditions can
lead to unnecessary surgical interventions
