Open AccessRectus sheath hematoma due to cough in an elderly patient under antiplatelet therapy
Author(s) -
Çoşğun İ. Güven,
Ünal Yılmaz,
Çetin Mustafa
Publication year - 2015
Publication title -
the clinical respiratory journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.789
H-Index - 33
eISSN - 1752-699X
pISSN - 1752-6981
DOI - 10.1111/crj.12109
Subject(s) - medicine , hematoma , surgery , abdominal pain , abdomen , anticoagulant therapy , acute abdomen
Background and Aims Abdominal rectus sheath hematoma ( ARSH ) is a rare clinical condition that can be confused with other causes of acute abdomen.Methods We report an 83‐year‐old woman receiving antiplatelet medication who presented with ARSH following a cough episode.Results The patient was hospitalized with a diagnosis of acute chronic obstructive pulmonary disease exacerbations. During hospital stay, sudden onset abdominal pain was developed following a severe cough episode. Computed tomography of the abdomen revealed ARSH . Discussion Rectus sheath hematoma is a rare and often misdiagnosed clinical condition. It is important to be considered for the diagnosis. Conclusion ARSH should be considered in case of development of acute abdominal pain following cough in receiving anticoagulant or antiplatelet therapy.