Rectus sheath hematoma due to cough in an elderly patient under antiplatelet therapy

Abstract

ARSH should be considered in case of development of acute abdominal pain following cough in receiving anticoagulant or antiplatelet therapy.

Formation of a Rectus Sheath Hematoma Secondary to COPD Exacerbation While Taking Dual Antiplatelet Therapy

“…Dual antiplatelet therapy has shown to reduce vascular complications in a patient population post acute coronary syndrome; however, this therapy does increase bleeding risks. There are numerous cases of rectus sheath hematomas developing in patients on dual antiplatelet therapy treatment and on new oral anticoagulation alone [7][8][9]. In a review of rectus sheath hematoma, half were found to be due to nonsurgical abdominal wall trauma, of which the most common cause was coughing [10].…”