Title
Rectal colonic mural hematoma following enema for constipation while on therapeutic anticoagulation.
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
Recommended Citation
Rentea, Rebecca M. and Fehring, Charles H., "Rectal colonic mural hematoma following enema for constipation while on therapeutic anticoagulation." (2017). Manuscripts, Articles, Book Chapters and Other Papers. 1147.
https://scholarlyexchange.childrensmercy.org/papers/1147
Included in
Digestive System Commons, Pharmaceutical Preparations Commons, Surgery Commons, Surgical Procedures, Operative Commons
