Introduction: Abdominal wall hematoma, caused by rupture of superficial abdominal vessel (most commonly epigastric vessels) or muscle tear, is most frequently encountered in association with anticoagulation therapy, trauma, operation, and hematologic disorder. It rarely occurs spontaneously.
Case report:We report a case of abdominal wall hematoma in a 55-year-old female without any predisposing factors and not on any anticoagulants. It was managed symptomatically.
Conclusion:Spontaneous Abdominal wall hematoma though a rare identity but should be kept in mind as differential diagnosis as it can have a varied course and has to be treated promptly.