A Case of Hematoma of Rectus Abdominal Muscle Caused by Coughing

Rectus sheath hematoma is relatively rare, and should be included in the differential diagnosis of patients with acute abdominal pain and abdominal mass. We describe a patient with rectus sheath hematoma caused by coughing. A 77-year-old man was admitted with abdominal pain and mass. 10 days before...

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Bibliographic Details
Published inOrthopedics & Traumatology Vol. 58; no. 4; pp. 665 - 667
Main Authors Kanezaki, Shozo, Hara, Katsutoshi, Kawano, Masanori, Itonaga, Ichiro, Kaku, Nobuhiro, Fujikawa, Yousuke, Tsumura, Hiroshi
Format Journal Article
LanguageEnglish
Japanese
Published West-Japanese Society of Orthopedics & Traumatology 25.09.2009
Subjects
abscess
computed tomography
hematoma of rectus abdominal muscle
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Summary:Rectus sheath hematoma is relatively rare, and should be included in the differential diagnosis of patients with acute abdominal pain and abdominal mass. We describe a patient with rectus sheath hematoma caused by coughing. A 77-year-old man was admitted with abdominal pain and mass. 10 days before admission, he presented with intense coughing and sputum due to bronchitis, followed by fever and sharp abdominal pain two days later. Ultrasonography and CT scan revealed a hematoma inside the right upper rectus sheath. The patient responded to conservative therapy. The hematoma almost disappeared in the course of three months.
ISSN:0037-1033
1349-4333
DOI:10.5035/nishiseisai.58.665