Aim: Presentation of 3 cases of spontaneous hamatoma of the sheath of the rectus muscles in the abdomen.

Design: Retrospective clinical observations.

Location: Primary Care.

Patients: Two males (23 and 28 years old) and a woman (64 years old) who were clinically examined because the reported an acute abdominal pain.

Results: Clinical observations.

Conclusions: We should consider the diagnosis of spontaneous hematoma of the sheath of the rectus muscles in the abdomen, differentiating it from a diagnosis of the acute abdomen.

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