{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T20:48:36Z","timestamp":1789764516773,"version":"4.0.1"},"reference-count":49,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T00:00:00Z","timestamp":1744588800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>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\u2019s 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.<\/jats:p>","DOI":"10.3390\/reports8020049","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T07:42:01Z","timestamp":1744616521000},"page":"49","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous Abdominal Wall Hematoma Following Violent Cough: A Rare but Severe Condition\u2014Surgical Challenges and Outcomes Regarding Three Cases and a Literature Review"],"prefix":"10.3390","volume":"8","author":[{"given":"Claudiu Octavian","family":"Ungureanu","sequence":"first","affiliation":[{"name":"Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania"},{"name":"General Surgery Department, \u201cSf. Ioan\u201d Clinical Emergency Hospital, 13 Vitan-B\u00e2rze\u015fti Road, 042122 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5366-5684","authenticated-orcid":false,"given":"Floris Cristian","family":"St\u0103nculea","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania"},{"name":"General Surgery Department, \u201cSf. Ioan\u201d Clinical Emergency Hospital, 13 Vitan-B\u00e2rze\u015fti Road, 042122 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandru","family":"Iordache","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania"},{"name":"\u201cProfessor Doctor Theodor Burghele\u201d Clinical Hospital, 20 Panduri Road, 050659 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1294-7388","authenticated-orcid":false,"given":"Cosmin","family":"Burleanu","sequence":"additional","affiliation":[{"name":"General Surgery Department, \u201cBagdasar-Arseni\u201d Clinical Emergency Hospital, 12 Berceni Road, 041915 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentin Titus","family":"Grigorean","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania"},{"name":"General Surgery Department, \u201cBagdasar-Arseni\u201d Clinical Emergency Hospital, 12 Berceni Road, 041915 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Octav","family":"Ginghina","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania"},{"name":"Department of Surgery 3, \u201cProf. Dr. Al. Trestioreanu\u201d Institute of Oncology Bucharest, 022328 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6022-2236","authenticated-orcid":false,"given":"Mircea","family":"Li\u021bescu","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania"},{"name":"General Surgery Department, \u201cSf. Ioan\u201d Clinical Emergency Hospital, 13 Vitan-B\u00e2rze\u015fti Road, 042122 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,14]]},"reference":[{"key":"ref_1","unstructured":"Shikhman, A., and Tuma, F. (2025, April 01). 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