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  • Title: Rectus sheath hematoma mimicking acute splenic disease.
    Author: Noseda A, Bellens R, Van Gansbeke D, Gangji D.
    Journal: Am J Gastroenterol; 1983 Sep; 78(9):566-8. PubMed ID: 6225332.
    Abstract:
    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.
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