Tuberc Respir Dis > Volume 65(3); 2008 > Article
Tuberculosis and Respiratory Diseases 2008;65(3):212-215.
DOI:    Published online September 1, 2008.
A Case of Rectus Sheath Hematoma and Intraperitoneal Hematoma Induced by Cough.
Hae Bin Jeong, Hyeon Hui Kang, Eun Joo Im, Hyun Gyung Kim, Su Yeon Lee, Il Ho Maeng, Ji Myoung Lee, Eun Hee Jang, Sang Haak Lee, Hwa Sik Moon
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Rectus sheath hematoma (RSH) is a rare condition that's caused by a sudden disruption of the deep epigastric vessels or direct damage to the rectus abdominis muscle. This condition is associated with old age, childbirth, abdominal surgery, severe cough, severe sneezing, anticoagulation therapy and/or coagulation disorders. RSH is characterized by abdominal pain and an abdominal mass, so that this is often misdiagnosed as a surgical condition such as appendicitis, intraabdominal abscess, torsion of the ovary and ruptured abdominal aortic aneurysm; this can lead to unnecessary surgery. Thus, we have to be cautious not to miss RSH when a patient with predisposing factors is suffered from abdominal pain and an abdominal mass. We report here on a case of rectus sheath hematoma that was induced by severe cough in a patient who was taking warfarin.
Key Words: Rectus abdominis, Hematoma, Cough, Warfarin

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