A Case of Spontaneous Rectus Sheath Hematoma Induced by Persistent Cough Accompanying Active Bleeding

다국어 초록 (Multilingual Abstract)

The rectus sheath hematoma (RSH) is a rare cause of acute abdominal pain. Although the clinical course of the RSH is mostly self-limited, interventional or surgical treatment is needed in cases of accompanying active bleeding. A 56-year-old man without a history of anticoagulation therapy presented to the emergency department complaining of severe left upper abdominal pain. A 16 × 11.2 × 3.6 cm RSH accompanying active bleeding located superior to the arcuate line was confirmed by computed tomography (CT) scan. The patient remained hemodynamically stable and hemoglobin did not decrease. According to a CT scan taken on day 13, active bleeding disappeared. He was discharged uneventfully on day 21. If the patient with RSH is hemodynamically stable and the location of hematoma is superior to the arcuate line, he could be cured with conservative treatment even if the active bleeding is developed.