Rectus sheath hematoma. First clinical feature of postransplant lymphoproliferative disorders

Rectus sheath hematoma results from the rupture of rectus muscle vessels by trauma, coagulation disorders or anticoagulant therapy, but it can occur s pontaneously too. Its prognosis is good. On the other hand, postransplant lymphoproliferative disorders (PTLD) are s erious and potentially fatal complications in transplant recipients. Patien ts with PTLD have a mononucleosislike syndrom or develop extranodal masses which involve various organs. We report the case of a renal transplant recipient who develop a rectus she ath hematoma as the first clinical feature of PTLD.