Intramural hematoma of colon: Case report of 2 cases.

Medicine
Jing WangDianbo Cao

Abstract

Colonic intramural hematomas are rarely encountered clinical entity. Colonic intramural hematomas are frequently associated with blunt trauma, and they could occur spontaneously in patients under anticoagulant therapy or with bleeding diathesis. There were few reports on synchronous colon cancer and intramural hematoma. Intramural hematomas of gastrointestinal tract in those patients undergoing anticoagulation treatment often occurred at the esophagus, duodenum, and small intestine, while colon was rarely affected site. Clinical symptoms of colonic intramural hematomas may include abdominal pain, lower gastrointestinal bleeding, and occasionally bowel obstruction. We herein report 2 cases of colonic intramural hematomas. Case 1 presented with abdominal pain and decreased defecation. Colonoscopy and contrast-enhanced computed tomography (CT) revealed intramural hematoma proximal to the neoplasm at ascending colon. Case 2 was a patient under regular anticoagulation therapy after coronary arterial stent implantation. His chief complaints were intermittent abdominal pain and distension. Colonoscopy and contrast-enhanced CT demonstrated intramural hematoma at sigmoid colon. Case 1 was diagnosed synchronous colonic intramural hematom...Continue Reading

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Citations

Apr 23, 2021·International Journal of Surgery Case Reports·Hussam I A AlzeerelhouseiniOsama Y Aljabarein
Aug 11, 2021·ANZ Journal of Surgery·Susan JacobTony C Y Pang

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Methods Mentioned

BETA
biopsy

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