Hematoma espontâneo do músculo reto abdominal : um relato de caso.

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.