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

Abstract

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.

Diagnosis and Management of Rare Case of Mesenteric Hematoma Rupture after Transcatheter Aortic Valve Replacement (TAVR): A Case Report and Review of the Literature

“…The potential causes of a nontraumatic mesenteric hematoma include anticoagulant therapy, connective tissue disease [2], acute pancreatitis [3] Crohn's disease [4], hemophilia [5], duodenal stenosis, and incarcerated inguinal hernia [6]. No reported cases of spontaneous mesenteric hematoma have been associated with uncontrolled HTN.…”

Report of a case with a spontaneous mesenteric hematoma that ruptured into the small intestine

“…The potential causes of a spontaneous mesenteric hematoma include anticoagulant therapy [10] , [11] , connective tissue disease [12] , acute pancreatitis [13] , and other diseases including Crohn’s disease [14] , duodenal stenosis [15] , and incarcerated inguinal hernia [15] . There are a few reports of a spontaneous mesenteric hematoma without associated diseases.…”

Spontaneous mesenteric haematoma: a complication of oral anticoagulant use

“…Further clarity on the exact definition of mesenteric haematomas is warranted. The risk factors for mesenteric haematomas include pancreatitis, (8) connective tissue disorders, (9) Crohn's disease, (10) haemophilia, (11) incarcerated inguinal hernias, (12) and antiplatelet and anticoagulation medications. Patients without any risk factors for mesenteric haematomas should be identified as having spontaneous haematomas.…”