KMID : 0385920230340060631
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Journal of the Korean Society of Emergency Medicine 2023 Volume.34 No. 6 p.631 ~ p.635
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A case of internal oblique muscle tear diagnosed by point-of-care ultrasound in a patient who presented to the emergency department with suspected acute appendicitis
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Koh Chan-Young
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Abstract
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Acute abdominal pain is a common emergency department complaint, with a myriad of potential causes often leading to misdiagnoses. Among these, internal oblique muscle tears have a rare etiology. This paper reports the case of a 34-yearold male presenting with right lower quadrant pain. Point-of-care ultrasound (POCUS) revealed a heterogeneous mass within his right internal oblique muscle, indicative of a hematoma. This finding, coupled with the patient¡¯s history, led to the diagnosis of an internal oblique muscle tear. The patient responded well to conservative management. This case underscores the importance of comprehensive history-taking and POCUS in correctly diagnosing unusual causes of acute abdominal pain, such as abdominal muscle injuries.
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KEYWORD
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Abdominal pain, Internal oblique muscle, Point-of-care testing, Ultrasonography
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