[Abdominal tumor after persistent coughing and uncontrolled anticoagulation].
We report the case of a 83-year-old female patient with ST elevation myocardial infarction who developed a rectus sheath hematoma during treatment with antiplatelet medication and systemic anticoagulants following cough attacks. The patient presented with progressive pain in the left lower abdomen associated with a palpable mass and anaemia. Abdominal sonography and computed tomography revealed a rectus sheath hematoma. We discuss pathogenesis, clinical findings, diagnostic workup and therapy. Moreover, we review the current related literature.
Wandeler-Meyer
K
K
Medizinische Klinik, Universitätsspital Basel. WandelerK@uhbs.ch
Bremerich
J
J
Christ
M
M
D000006:Abdomen, Acute / Q000209:etiology*; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects* / Q000627:therapeutic use; D001241:Aspirin / Q000009:adverse effects / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000188:drug therapy*; D000077144:Clopidogrel; D003112:Colonic Pseudo-Obstruction / Q000175:diagnosis; D015897:Comorbidity; D003371:Cough / Q000150:complications*; D017985:Dalteparin / Q000009:adverse effects / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D004359:Drug Therapy, Combination; D005260:Female; D006406:Hematoma / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D020766:Intracranial Embolism / Q000188:drug therapy*; D010644:Phenprocoumon / Q000009:adverse effects / Q000627:therapeutic use; D017568:Rectus Abdominis; D013988:Ticlopidine / Q000009:adverse effects / Q000031:analogs & derivatives / Q000627:therapeutic use
D000925:Anticoagulants; D000077144:Clopidogrel; D013988:Ticlopidine; D010644:Phenprocoumon; D001241:Aspirin; D017985:Dalteparin