Management of spontaneous abdominal wall hematomas: a narrative review with a focus on CTA-negative endovascular cases.

ABSTRACT:

Background

Spontaneous abdominal wall hematomas (AWH), typically involving the iliopsoas or rectus sheath, are most often seen in elderly or anticoagulated patients. Their nonspecific presentation can mimic other acute abdominal conditions, delaying diagnosis and management. Computed tomography angiography (CTA), particularly when performed in a multiphasic manner, including venous and delayed phases, provides high sensitivity and specificity in detecting active bleeding. Although subtle arterial bleeding may not always be detectable on arterial-phase imaging alone, this can potentially result in false-negative findings. Treatment options include conservative management, endovascular embolization, and surgical intervention. Identification of the bleeding source on CTA guides target

SUBMITTER: Arik E 

PROVIDER: S-EPMC12808008 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature