# Lateral Abdominal Wall Hematoma Mimicking Aortic Dissection Presentation: A Case Report

## TL;DR

A 42-year-old man's lateral abdominal wall hematoma was initially mistaken for aortic dissection but was correctly diagnosed with CT imaging.

## Contribution

This case highlights the diagnostic challenge of lateral abdominal wall hematoma mimicking aortic dissection.

## Key findings

- The patient's symptoms were initially misinterpreted as aortic dissection.
- CT imaging confirmed the diagnosis of lateral abdominal wall hematoma.
- Conservative management led to a stable recovery and discharge.

## Abstract

Lateral abdominal wall hematoma is a rare clinical entity but a great mimicker of other diseases' clinical presentations. In this case report, we present a 42-year-old male patient with a constellation of signs and symptoms that were mistaken for aortic dissection before the lateral abdominal wall hematoma diagnosis was confirmed with computed tomography (CT) imaging. Uncontrolled hypertension and persistent cough were most likely predisposing factors; the patient was managed conservatively and discharged in a stable condition.