Science and Education Publishing American Journal of Medical Case Reports 2374-216X 3 3 2015 02 12 Diclofenac Related Spontaneous Extensive Ecchymosis and Hematoma despite Normal Coagulation Parameters 82 84 EN Ilhami BERBER Mehmet Ali ERKURT Ilknur NIZAM Department of Hematology, Faculty of Medicine, Inonu University, Malatya, Turkey Irfan KUKU Emin KAYA Serkan UNLU Mikail YILMAZ AJMCR2015338 10.12691/ajmcr-3-3-8 2015 01 11 2015 02 05 2015 02 12 Diclofenac is a member of nonsteroidal anti-inflammatory drugs. In Turkey, ?t is often used as a analgesic. Diclofenac may very occasionally lead to spontaneous extensive ecchymosis and hematoma despite a normal coagulation parameters. In this paper, we report one patient who presented with spontaneous extensive ecchymosis and was diagnosed with a hematoma in the anterior chest wall associated with diclofenac use despite normal coagulation parameters. In countries like Turkey where NSAID are used extensively, drug history should be questioned in patients presenting with spontaneous bleeding and have normal coagulation parameters by physicians.