Article citationsMore>>

Jang, J.Y., Lim, Y.S., Woo, J.H. and Jang, J.H. (2015) Spontaneous Rupture of Intercostal Artery after Severe Cough. The American Journal of Emergency Medicine, 33, 131.e1-131.e3.
https://doi.org/10.1016/j.ajem.2014.06.033

has been cited by the following article:

• TITLE: Segmental Arterial Mediolysis in a Patient with Respiratory Syncytial Virus

  AUTHORS: Angela A. Cao, Eva Elder, Daniel Girgis, Allen Bergstedt, Courtney Burnett

  KEYWORDS: Segmental Arterial Mediolysis, Arterial Thrombosis, Anticoagulation, Dissection, RSV Complications

  JOURNAL NAME: Case Reports in Clinical Medicine, Vol.14 No.8, August 18, 2025

  ABSTRACT: We report a case of segmental arterial mediolysis (SAM) in a 45-year-old man with respiratory syncytial virus (RSV). He presented with acute abdominal pain following a week of forceful coughing. Blood tests showed elevated inflammatory markers. CT angiography revealed arterial thrombi and a splenic infarct. Hypercoagulable studies were unrevealing and inconsistent with vasculitis or thrombophilia. The patient was diagnosed with SAM and started on apixaban, and a repeat CT showed improvement of arterial flow after one month. This case highlights a potential link between viral cough and the development of SAM and highlights the use of anticoagulation in treatment.