Half and Half Abdomen

A 32-year-old man, with a history of severe hemophilia A, presented with a history of right-sided abdominal pain for 1  week. He was not on any prophylactic factor VIII. On physical examination, he had a distended abdomen with guarding and tenderness on the right side of the abdomen. There was no organomegaly. On percussion, the patient had a dull note on the right flank and resonant note on the left side. There wa s no shifting dullness. Laboratory investigations revealed low hemoglobin (6.8 gm/dL) and isolated activated partial thromboplastin time prolongation (control 33 s, test 96 s).
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Visual Diagnosis in Emergency Medicine Source Type: research