Post sneeze chest wall hematoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Severe left lower chest pain and mass feeling after a vigorous sneeze.

Patient Data

Age: 70 years
Gender: Male
This study is a stack
Axial with
oral contrast
This study is a stack
Axial C+ portal
venous phase
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Info

A 50× 29 mm mildly hyperdense mass-like lesion is noted in the muscular layer of the left upper anterior abdominal wall, which shows no frank enhancement, consistent with hematoma.

The liver has irregular margins in keeping with the chronic parenchymal disorder.

In addition, a 60× 50 mm cystic lesion with a thick irregular calcified wall in the right sub-diaphragmatic region could suggest an inactive hydatid cyst.

Case Discussion

Post sneeze chest wall hematoma in an elderly male patient.

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