A rare case of traumatic intramural hematoma in pediatric age group successfully managed with expectant approach
Keywords:Intramural hematoma, Pediatric, Surgical management
Acute colonic intramural hematoma is a rare clinical entity. In most cases reported in literature a surgical management is used. Here we present a case of an 8-year-old boy who was found to have a colonic intramural hematoma following a fall from bicycle. Considering the age of the child and hemodynamic stability a conservative management was adopted and the child was successfully managed.
Jebin Aaron D, Bhattarai S, Shaikh O, Sistla SC. Traumatic Acute Colonic Intramural Hematoma: A Rare Entity and Successful Expectant Approach. Cureus. 2020;12(8):e9694.
Samir R, Hashem MB, Badary HA, Bahaa A, Bakheet N. Perspectives and Management Strategies for Acute Colonic Intramural Hematoma. Int J Gen Med. 2022;15:2861-5.
Vecchio R, Cacciola E, Figuera M, Catalano R, Giulla G. Emanuele Rosario Distefano, Eva Intagliata,Idiopathic intramural hematoma of the right colon. A case report and review of the literature. Int J Surg Case Rep. 2019;60.
Hughes CE, Conn J Jr, Sherman JO. Intramural hematoma of the gastrointestinal tract. Am J Surg. 1977;133(3):276-9.
Alzeerelhouseini H, Abuzneid YS, Aljabarein OY. Delayed presentation of intramural cecal hematoma with challenges in the treatment. A case report and review of the literature. Int J Surg Case Rep. 2021;82:105884.
Figueiredo J, Borges N, Pascoalinho J, Matos R. Giant intramural hematoma of the Colon in acquired factor VIII inhibitor. Acta Med Port. 2019;32(9):614-7.