RECTUS HEMATOMA SECONDARY TO VOMITING - A COMPLICATION OF CONDITIONING REGIMEN FOR BONE-MARROW TRANSPLANTATION

A 41-year-old woman with chronic myelogenic leukemia was scheduled to undergo transplantation of bone marrow. The patient complained of naus ea and vomiting following the initiation of chemotherapy. One day prio r to the planned termination of chemotherapy, the patient developed le ft-sided abdominal pain. Physical examination and imaging examination indicated the possibility of acute abdomen associated with bleeding or herniation. For therapeutic and diagnostic purposes, an emergency ope ration was performed. A 6x5 cm hematoma was detected within the left r ectus abdominis muscle. It is suggested that the gastrointestinal symp toms should be carefully controlled in patients undergoing bone marrow transplantation.