Idiopathic intramural hematoma of the right colon. A case report and review of the literature

Abstract

Highlights A very rare case of spontaneous colon hematoma has been reported. The rarity of our case of colon hematoma is due to the fact that it is idiopathic. The topic is still under discussion in the Literature since the pathophysiology remains still unknown.

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

“…The etiologies may include abdominal trauma, anticoagulant therapy, bleeding diathesis, or iatrogenesis [ 2 ]. Hematoma of the colon is much less frequent than hematoma in other segments of the gastrointestinal tract [ 3 ]. It can be supposed that it may be due to the protective role of the Teniae coli, which could prevent the diffusion of the hemorrhage in the bowel wall [ 15 ].…”

“… Intestinal obstruction, hematochezia, Pallor, abdominal pain. No – Intraoperative Not reported No No Right hemicolectomy Whole body edema, thrombocytopenia 14 Vecchio,2019 [ 3 ] 48 yr. M Spontaneous(idiopathic). Fever, abdominal pain, intestinal obstruction, mass in the right quadrants.…”

“…Intramural hematoma may occur at any site from the esophagus to the rectum, being the duodenum is the typical site for it [ 1 , 3 ]. However, Intramural hematoma of the colon is a rare disease with only a few cases have been reported with sigmoid is the most common site [ 2 ].…”

Traumatic Acute Colonic Intramural Hematoma: A Rare Entity and Successful Expectant Approach

“…The first case of intestinal intramural hematoma was reported in 1855 by Thompson. Hughes et al reported about 109 cases of post-traumatic acute intramural hematoma in 1977, in which only 4% of cases were colonic intramural hematoma [4]. Since 1950, there were 16 cases with traumatic colonic intramural hematoma, which was more common in ascending colon [5,6].…”

“…Among them, colonic intramural hematoma is very rare. The reason for the rarity in colon is supposedly due to the protective role of taenia coli, which can prevent blood diffusing in the bowel wall if there is a rupture of intramural vessels due to blunt trauma [4]. In traumatic acute colonic intramural hematoma, most of the reported cases were managed surgically.…”