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Intramural Hematoma of the Cecum

Report of Two Cases

  • Published:
Diseases of the Colon & Rectum

Abstract

Intramural hematoma of the cecum is a rare complication of blunt abdominal trauma. We report two patients who presented with cecal hematoma after a fall and a traffic accident, respectively. Diagnosis was by abdominal computed tomographic scan. Patients were operated on 24 and 36 hours after the injury because of sudden clinical deterioration and hemoperitoneum, respectively. The patients had a large cecal intramural hematoma that progressed to the ascending colon by dissection of the teniae coli. Emergency right hemicolectomy was followed by uneventful recovery in both patients. Only six previously reported cases of cecal intramural hematoma were found, and in all cases a right hemicolectomy was performed. In conclusion, in contrast to hematomas located in other sections of the gastrointestinal tract, early surgical treatment for intramural hematoma of the cecum is recommended.

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References

  1. TC Jewett SuffixJr V Caldarola MP Karp JE Allen DR Cooney (1988) ArticleTitleIntramural hematoma of the duodenum. Arch Surg 123 54–58

    Google Scholar 

  2. WY Yin MK Gueng SH Huang HT Chen TM Chang (2000) ArticleTitleAcute colonic intramural hematoma due to blunt abdominal trauma. Int Surg 85 51–54

    Google Scholar 

  3. JH Donohue MP Federle BG Griffiths DD Trunkey (1987) ArticleTitleComputed tomography in the diagnosis of blunt intestinal and mesenteric injuries. J Trauma 27 11–17

    Google Scholar 

  4. E Dixon B Steed F Sutherland P Mitchell (2000) ArticleTitleSoft-tissue case 32: Can J Surg 43 90–112

    Google Scholar 

  5. AS McIntyre R Ayres J Atherton RC Spiller R Cockel (1998) ArticleTitleDissecting intramural haematoma of the oesophagus. QMJ 91 701–705

    Google Scholar 

  6. RE Welling PS Reilly (1986) ArticleTitleNon-operative treatment of a traumatic intramural hematoma of the ascending colon. South Med J 79 1309–1310

    Google Scholar 

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Authors and Affiliations

    Authors
    1. Ricard Calabuig M.D.
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    2. Carles Ortiz M.D.
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    3. Albert Sueiras M.D.
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    4. Josep Vallet M.D.
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    5. Felip Pi M.D.
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    Calabuig, R., Ortiz, C., Sueiras, A. et al. Intramural Hematoma of the Cecum. Dis Colon Rectum 45, 564–566 (2002). https://doi.org/10.1007/s10350-004-6240-y

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    • DOI: https://doi.org/10.1007/s10350-004-6240-y

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