# Spontaneous Abdominal Wall Hematoma Following Violent Cough: A Rare but Severe Condition—Surgical Challenges and Outcomes Regarding Three Cases and a Literature Review

## TL;DR

This paper discusses a rare and severe condition where violent coughing causes abdominal wall hematomas, highlighting surgical challenges and successful treatment outcomes.

## Contribution

The paper contributes three detailed case reports and a literature review on a rare condition, emphasizing its clinical significance and management.

## Key findings

- Spontaneous abdominal wall hematomas following violent coughing are rare but can be life-threatening.
- Surgical intervention is often necessary for effective management of severe cases.
- Timely intervention and proper clinical awareness can lead to successful outcomes.

## Abstract

Background and Clinical Significance: Spontaneous abdominal wall hematoma following violent coughing is a rare condition that poses a sometimes difficult therapeutic challenge, with surgical intervention often necessary in severe cases. This report aims to shed light on this rare but severe affection and raise the medical community’s interest by detailing the pathophysiology, management strategies, and outcome of spontaneous abdominal wall hematoma. Case Presentation: The basis for our paper was a comprehensive retrospective analysis of three cases treated in our surgical departments. We rigorously reviewed their clinical notes and imaging examinations to ensure the accuracy and reliability of our findings. Conclusions: These case reports underscore the challenging nature of such hematomas. Clinicians should be aware of this pathology, as it can be life-threatening. Our successful management of these cases shows that it is possible to effectively manage difficult clinical situations with timely intervention.