James S. Studdiford III, MD

The authors present a case of rupture of the rectus abdominis muscle with subsequent rectus sheath hematoma-an uncommon and often misdiagnosed cause of acute abdominal pain.

A 30-year-old man with a 15 packyear smoking history presented for a follow-up evaluation of an asymptomatic whitish lesion on the tongue of 4 months’ duration. The lesion had not responded to oral therapy with either nystatin or fluconazole. The patient was distressed about the lesion’s appearance and his inability to remove it with a toothbrush.