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While most cases are treated conservatively, uncontrolled hemorrhage may be lethal and requires prompt recognition. We discuss a case of RSH which developed in the setting of paroxysmal coughing and platelet dysfunction. The purpose is to highlight the diagnosis and treatment of RSH and emphasize the importance of its inclusion in the differential for acute abdominal pain.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_851_23","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T16:07:33Z","timestamp":1702915653000},"page":"3422-3424","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A case of rectus sheath hematoma in the setting of paroxysmal coughing and platelet dysfunction"],"prefix":"10.4103","volume":"12","author":[{"given":"Erika","family":"Harris","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Joan C Edwards School of Medicine, Marshall University, Barboursville, WV, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Fleshman","sequence":"additional","affiliation":[{"name":"Joan C Edwards School of Medicine, Marshall University, Huntington, WV, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Franks","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Joan C Edwards School of Medicine, Marshall University, Barboursville, WV, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,21]]},"reference":[{"key":"R1-20260511","doi-asserted-by":"crossref","first-page":"163","DOI":"10.12659\/AJCR.913246","article-title":"Spontaneous rectus sheath hematoma: An uncommon cause of acute abdominal pain","volume":"20","author":"Ben Selma","year":"2019","journal-title":"Am J Case Rep"},{"key":"R2-20260511","first-page":"412","article-title":"Spontaneous rectus sheath hematoma masquerading as acute abdomen. 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