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J Korean Soc Emerg Med > Volume 34(6); 2023 > Article
Journal of The Korean Society of Emergency Medicine 2023;34(6): 631-635.
급성충수염이 의심되어 응급센터로 내원한 환자에서 현장초음파로 진단된 내복사근 파열 1례
단국대학교병원 응급의학교실
A case of internal oblique muscle tear diagnosed by point-of-care ultrasound in a patient who presented to the emergency department with suspected acute appendicitis
Chan-Young Koh
Department of Emergency Medicine, Collage of Medicine, Dankook University, Cheonan, Korea
Correspondence  Chan-Young Koh ,Tel: 041-550-6840, Fax: 041-550-0524, Email: suepunk@naver.com,
Received: August 23, 2023; Revised: October 20, 2023   Accepted: October 20, 2023.  Published online: December 31, 2023.
Acute abdominal pain is a common emergency department complaint, with a myriad of potential causes often leading to misdiagnoses. Among these, internal oblique muscle tears have a rare etiology. This paper reports the case of a 34-yearold male presenting with right lower quadrant pain. Point-of-care ultrasound (POCUS) revealed a heterogeneous mass within his right internal oblique muscle, indicative of a hematoma. This finding, coupled with the patient’s history, led to the diagnosis of an internal oblique muscle tear. The patient responded well to conservative management. This case underscores the importance of comprehensive history-taking and POCUS in correctly diagnosing unusual causes of acute abdominal pain, such as abdominal muscle injuries.
Key words: Abdominal pain; Internal oblique muscle; Point-of-care testing; Ultrasonography
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