Rectus Sheath Hematoma: An Unfortunate Consequence of Novel Anticoagulants
نویسندگان
چکیده
INTRODUCTION A 76-year-old male presented to the emergency department complaining of intense abdominal pain. He reported one week earlier an upper respiratory illness with violent coughing spells. Past medical history included recent percutaneous coronary intervention for a myocardial infarction 6 months prior where he received three drug-eluting stents and was subsequently discharged home on Prasugrel (Effient) and Aspirin. Physical exam revealed a large tender right lower quadrant mass with areas of ecchymosis appreciated over the supra-pubic and right lower abdominal region. Abdomen was otherwise soft and non-distended. Basic laboratory tests were noted to be within normal limits. A computed tomography (CT) of the abdomen and pelvis was performed and revealed a 12cm rectus sheath hematoma in the right lower quadrant (Figures 1 and 2). Lakeland Regional Medical Center, Department of Emergency Medicine, St. Joseph, Michigan
منابع مشابه
Rectus sheath hematoma in an elderly woman under anti-coagulant therapy.
Rectal sheath hematoma has been a well-known clinical entity from the ruin of the ancient Greece. It is relatively rare, however, to encounter this abdominal disorder in the clinical setting. Furthermore, the initial symptoms of rectus sheath hematoma are often similar to those of acute abdominal disorders. Therefore, the majority of the patients with rectus sheath hematoma have been treated wi...
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