Abstract
Objective: To report the case of a patient with rupture of the oblique and transverse muscle, with consequent hematoma triggered by a coughing crisis, whose conservative treatment provided a favorable evolution. Details of the case: Female patient, 63 years old, admitted to the emergency room with ecchymosis in lower quadrants of the abdomen, with two days of evolution, after coughing crisis, culminating in severe pain on the left flank. Ultrasonography of the lower abdomen (US) was performed, free fluid was detected in the abdominal cavity and computed tomography (CT) of the upper and lower abdomen that showed rupture of the oblique and transverse muscles of the abdomen with a large hematoma in the area. Conservative treatment was started with symptomatic medication and absolute rest. There was a good evolution and after 45 days, she returned asymptomatic and with evident improvement of bruises. Final Considerations: The reported case and the researched literature provide a basis for discussing the treatment of a rare and little discussed situation, which is the spontaneous hematoma of the abdominal muscles and show that conservative treatment is capable of obtaining satisfactory results in the resolution of the condition.