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KMID : 0383820080650030212
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Tuberculosis and Respiratory Diseases
2008 Volume.65 No. 3 p.212 ~ p.215
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A Case of Rectus Sheath Hematoma and Intraperitoneal Hematoma Induced by Cough
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Jung Hae-Bin
Kang Hyeon-Hui
Lim Eun-Joo
Kim Hyun-Gyung
Lee Su-Yeon
Maeng Il-Ho
Lee Ji-Myoung
Jang Eun-Hee
Lee Sang-Haak
Moon Hwa-Sik
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Abstract
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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.
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KEYWORD
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Rectus abdominis, Hematoma, Cough, Warfarin
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