Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma

We present a case of a 59-year-old man who arrived to the emergency department with abdominal pain and bruising after coughing. Point of care ultrasound (POCUS) was used to make the diagnosis of rectus sheath hematoma (RSH). This diagnosis was made within minutes of arrival to the ED and subsequent...

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Main Authors: William Noel, Brian B. Donahue
Format: Article
Language:English
Published: CINQUILL Medical Publishers Inc. 2023-11-01
Series:POCUS Journal
Subjects:
Online Access:https://ojs.library.queensu.ca/index.php/pocus/article/view/16500
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author William Noel
Brian B. Donahue
author_facet William Noel
Brian B. Donahue
author_sort William Noel
collection DOAJ
description We present a case of a 59-year-old man who arrived to the emergency department with abdominal pain and bruising after coughing. Point of care ultrasound (POCUS) was used to make the diagnosis of rectus sheath hematoma (RSH). This diagnosis was made within minutes of arrival to the ED and subsequently confirmed on computed tomography (CT) of the abdomen. As abdominal ultrasound is a technically straightforward imaging technique which includes a sensitivity that rises about 90%, its utilization to identify rectus sheath hematoma can reduce the rate of CT imaging and time to diagnosis for this pathology.
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spelling doaj.art-1cc5b8ffa4934c8eb500e30969998a8b2023-11-29T05:00:08ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432023-11-018210.24908/pocus.v8i2.16500Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath HematomaWilliam Noel0https://orcid.org/0000-0001-9503-6847Brian B. Donahuehttps://orcid.org/0009-0009-2202-092XAscension Resurrection Medical Center We present a case of a 59-year-old man who arrived to the emergency department with abdominal pain and bruising after coughing. Point of care ultrasound (POCUS) was used to make the diagnosis of rectus sheath hematoma (RSH). This diagnosis was made within minutes of arrival to the ED and subsequently confirmed on computed tomography (CT) of the abdomen. As abdominal ultrasound is a technically straightforward imaging technique which includes a sensitivity that rises about 90%, its utilization to identify rectus sheath hematoma can reduce the rate of CT imaging and time to diagnosis for this pathology. https://ojs.library.queensu.ca/index.php/pocus/article/view/16500Rectus Sheath HematomaAnticoagulationCoughUltrasound
spellingShingle William Noel
Brian B. Donahue
Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma
POCUS Journal
Rectus Sheath Hematoma
Anticoagulation
Cough
Ultrasound
title Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma
title_full Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma
title_fullStr Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma
title_full_unstemmed Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma
title_short Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma
title_sort cough causing abdominal pain a rapid pocus diagnosis of rectus sheath hematoma
topic Rectus Sheath Hematoma
Anticoagulation
Cough
Ultrasound
url https://ojs.library.queensu.ca/index.php/pocus/article/view/16500
work_keys_str_mv AT williamnoel coughcausingabdominalpainarapidpocusdiagnosisofrectussheathhematoma
AT brianbdonahue coughcausingabdominalpainarapidpocusdiagnosisofrectussheathhematoma