We present two variant cases of spontaneous @entity1410 (SRSH). A 71-year-old @entity1 presented with ST elevation @entity583 and was found to have multivessel @entity453 . She was treated with @entity117 , @entity1397 , eptifibatide, and heparin. Heparin was continued while preoperative workup for coronary artery bypass grafting was done. She developed a large 20x10 cm actively @entity548 SRSH while on heparin. It was surgically evacuated. The second case represents an atypical cause of SRSH. A 64-year-old @entity1 with @entity2883 presented with @entity417 and @entity490 . Abdominal CT showed a large 22 cm SRSH without active @entity548 that was treated conservatively. Both @entity1 did well on follow-up. The incidence of SRSH is likely to increase in the coming years with the increasing use of antithrombotic agents for many disease processes. Clinicians should be aware of typical and atypical presentations of SRSH and its variant management options.

Spontaneous XXXX : two variant cases.

@entity1 :: ('9606', 'Species') :: ['woman', 'patients'] @entity417 :: ('MESH:D000740', 'Disease') :: ['anemia'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity1397 :: ('MESH:C055162', 'Chemical') :: ['clopidogrel'] @entity117 :: ('MESH:D001241', 'Chemical') :: ['aspirin'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['rectus sheath hematoma'] @entity453 :: ('MESH:D003324', 'Disease') :: ['coronary artery disease'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity2883 :: ('MESH:D014890', 'Disease') :: ["Wegener's Granulomatosis"] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction']
@entity1410 :: (MESH:D006406,Disease) :: ['rectus sheath hematoma']
