Spontaneous mesenteric haematoma; diagnosis and management: Figure 1

Parker, S.; Thompson, J. N.

doi:10.1136/bcr-2012-006624

Cited by 26 publications

(37 citation statements)

References 11 publications

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“…It is reported to be associated with trauma, connective tissue disorders, coagulopathies, pancreatitis, and arteriopathy. Some cases have been reported in which there is no apparent underlying etiology [14]. Before conducting a microscopic examination, we suspected that an arteriopathy of the mesenteric artery, such as a microaneurysm, might have been the origin of the hemorrhage in the present case; therefore, the bone marrow sample was not assessed.…”

Section: Discussionmentioning

confidence: 79%

Death resulting from a mesenteric hemorrhage due to acute myeloid leukemia: An autopsy case

2014

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Section: Discussionmentioning

confidence: 79%

Death resulting from a mesenteric hemorrhage due to acute myeloid leukemia: An autopsy case

2014

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“…Although the cause is unknown, the disease process may be associated with unidentified anticoagulation mismanagement or even undiagnosed connective tissue disease [6-8]. …”

Section: Discussionmentioning

confidence: 99%

Spontaneous mesenteric hematoma complicating an exacerbation of Crohn’s disease: report of a case

et al. 2014

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Case PresentationSpontaneous mesenteric haematoma is a rare condition that occurs due to localized bleeding in the mesenteric vascular tree of a bowel segment in the absence of an identifiable cause. Here we report a case of spontaneous mesenteric haematoma during an inflammatory exacerbation of Crohn’s disease. The patient underwent surgical management for small bowel obstruction secondary to Crohn’s disease, however the concurrent presence of a spontaneous mesenteric haematoma in the mid-jejunal mesentery was successfully managed conservatively. ConclusionThis case identifies the first association of spontaneous mesenteric haematoma with an exacerbation of Crohn’s disease and highlights the need to consider rare differential diagnoses such as SMH when performing radiological assessment of unexplained symptoms in inflammatory bowel disease patients.

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“…CT usually provides useful methods for identifying SMH by eliminating other common causes such as abdominal aneurysm, malignancy and acute pancreatitis, etc. 2 In present case, ovarian tumor could be possible because of a tumor-like lesion in the left lower abdomen by abdominal CT scan. However, two branches of inferior sigmoid artery (IMA) encircled the mass, which indicated a higher possibility of hematoma within the mesentery of the sigmoid colon.…”

Section: Case Reportmentioning

confidence: 97%

“…To the best of our knowledge, 20 cases of SMH have been reported in Medline (Table 1). [1][2][3][5][6][7][8][9][10][11][13][14][15][16][17][18] The majority of patients are male (16/20), and the most cases are found in the small intestine (13/20). Hemorrhage usually occurs in the small bowels, while SMH in the sigmoid colon, is rare.…”

Section: Case Reportmentioning

confidence: 99%

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Spontaneous mesenteric hematoma after antiplatelet therapy: a case report

et al. 2018

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Spontaneous mesenteric hematoma (SMH) is one of the rare conditions with abdominal mass secondary to hemorrhage. It develops due to regional bleeding in the mesenteric vessel of a gastrointestinal tract. The unusual morphology and lack of apparent etiology of SMH make it difficult to diagnose. A 57-year-old woman was referred to our hospital for intermittent abdominal pain with nausea and vomiting. She was receiving antiplatelet therapy by aspirin from idiopathic thrombocytosis. The number of platelet was above the normal level. CT showed a tumor-like lesion with arterial extravasation in the left lower abdomen. Mesenteric hematoma was considered since the mass was located between two branches of inferior sigmoid artery (IMA). Emergency laparotomy was performed and a mesenteric hematoma adjacent to the sigmoid colon was identified. The mesenteric hematoma was resected with the regional sigmoid colon. Pathology report showed intact mucous membrane of the excision without tumors or aneurysm. SMH was finally confirmed. The patient returned to her daily life without complaining of any symptoms. When a patient on antiplatelet therapy complained of acute abdominal pain, SMH has to be taken into consideration. Abdominopelvic CT scan is an effective investigation for diagnosis, and conservative therapy or emergent exploratory laparotomy could be an optional treatment. To the best of our research in Medline, there have only seven cases of colorectal SMH. Authors reportrd a rare case of SMH located at sigmoid colon, which appeared after antiplatelet therapy.

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Spontaneous mesenteric haematoma; diagnosis and management: Figure 1

Cited by 26 publications

References 11 publications

Death resulting from a mesenteric hemorrhage due to acute myeloid leukemia: An autopsy case

Death resulting from a mesenteric hemorrhage due to acute myeloid leukemia: An autopsy case

Spontaneous mesenteric hematoma complicating an exacerbation of Crohn’s disease: report of a case

Spontaneous mesenteric hematoma after antiplatelet therapy: a case report

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