The Editor,
Sir,
A 85-year-old male patient applied to our clinic with 10-day history of multiple nondisplaced rib fractures of the fifth through ninth ribs due to fall from height. He complained of severe right-sided chest pain unresponsive to analgesic medications including Tramadol 150mg/day and Paracetamol 1300 mg/day. His pain score was 8.7 on a standard 0 to 10 numeric rating scale. During physical examination, sensitivity to palpation and an ecchymosis with a size of 6x11 cm localized in the lower right quadrant of his chest wall were detected (Figure 1).
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