Active Cecal Hematoma Formation during Colonoscopy

Delayed presentation of intramural cecal hematoma with challenges in the treatment. A case report and review of the literature

“… 10 Jongwutiwes,2008 [ 8 ] 74 yr. M Colonoscopy. Abdominal pain and tenderness, RLQ mass Yes 6 h Abdominal CT scan 10 × 16 Not reported Yes Observation No 11 Koczka,2009 [ 9 ] 86 yr. M Colonoscopy. Asymptomatic No Immediately Colonoscopy 3 No No Observation No 12 Jangouk,2017 [ 10 ] 68yr.…”

“…Most cases of ICH presented in less than 24 h after the primary insult with right hemicolectomy is the treatment if observational therapy was failed [ 1 , [4] , [5] , [6] , [7] , [8] , [9] , [10] ]. Herein we report the only case of intramural cecal hematoma with a delayed clinical presentation and the second reported case that treated surgically by hematoma evacuation instead of right hemicolectomy.…”