Yeungnam Univ J Med.  2014 Dec;31(2):139-143. 10.12701/yujm.2014.31.2.139.

Spontaneous abdominal intramuscular hematoma in a non-dialysis chronic kidney disease patient under cilostazol therapy

• Kang S
• Yu HM
• Na HY
• Ko YK
• Kwon SW
• Lim CH
• Kim SW
• Jo YI

• KMID: 1909824
• DOI: http://doi.org/10.12701/yujm.2014.31.2.139

Abstract

Spontaneous intramuscular hematoma of the abdominal wall is a rare condition characterized by acute abdominal pain. It is often misdiagnosed as a surgical condition. It used to be associated with risk factors such as coughing, pregnancy, and anticoagulant therapy. Most cases of abdominal wall hematomas were rectus sheath hematomas caused by the rupture of either the superior or inferior epigastric artery, but spontaneous internal oblique hematoma was extremely rare. In this report, we present a case of spontaneous internal oblique hematoma in a 69-year-old man with non-dialysis chronic kidney disease who was taking cilostazol. The patient complained of abrupt abdominal pain with a painful palpable lateral abdominal mass while sleeping. The abdominal computed tomography showed an 8 cm-sized mass in the patient's left internal oblique muscle. The administration of cilostazol was immediately stopped, and the intramuscular hematoma of the lateral oblique muscle disappeared with conservative management.

Keyword

Cilostazol; Chronic kidney disease; Hematoma; Abdominal muscles

MeSH Terms

Abdominal Muscles
Abdominal Pain
Abdominal Wall
Aged
Cough
Epigastric Arteries
Hematoma*
Humans
Pregnancy
Renal Insufficiency, Chronic*
Risk Factors
Rupture