h A 50-year old female patient admitted with a 1-week-istory of pain and bulging in the left lower abdominal area following a bout of coughing. The pain was exacervated when a Valsalva's manuver was performed and was somewhat relieved by lying
supine.
The patient reported a 10-day history of severe coughing, but no fever. She had been taking antitussive for 10 days, but no aspirin and anticoagulant. She had been suffered from bronchial asthma for 8 years. The ultrasound. CT & needle aspiration
confirmed the diagnosis of a hematoma between the internal oblique & external oblique muscle of abdominal wall. She was treated conservatively with a heating pad, analgesics, elastic bandages, and instructed to rest. Her bronchial asthma was
treated
with antitussives, aminophilline, B2 agonist inhalator, and prednisolon.
This case report describes the association between relative minor strain and the formation of a hematoma of anterior abdominal wall. A review of the literature was undertaken to discuss the cause, diagnosis, and treatment of a anterior abdominal
wall
hematoma.
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