Document Type

Article

Publication Date

1-19-2017

Identifier

PMCID: PMC5260854 DOI: 10.1093/jscr/rjx001

Abstract

Causes of colonic and recto-sigmoid hematomas are multifactorial. Patients can present with a combination of dropping hemoglobin, bowel obstruction and perforation. Computed tomography imaging can provide clues to a diagnosis of intramural hematoma. We present a case of rectal hematoma and a review of current management literature. A 72-year-old male on therapeutic anticoagulation for a pulmonary embolism, was administered an enema resulting in severe abdominal pain unresponsive to blood transfusion. A sigmoid colectomy with end colostomy was performed. Although rare, colonic and recto-sigmoid hematomas should be considered as a possible diagnosis for adults with abdominal pain on anticoagulant therapy.

Journal Title

J Surg Case Rep

Volume

2017

Issue

1

First Page

1

Last Page

4

MeSH Keywords

Hematoma; Enema; Constipation; Colorectal Surgery; Anticoagulants; Aged

Keywords

recto-sigmoid hematomas; therapeutic anticoagulation

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