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Related Experiment Video

Updated: Jul 6, 2026

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors

Published on: February 13, 2026

Obstructive rectal intramural hematoma caused by a foreign body.

Bilal Battal¹, Murat Kocaoglu, Fatih Ors

¹Department of Radiology, Gulhane Military Medical School, 06018, Etlik, Ankara, Turkey. bilbat_23@yahoo.com

Emergency Radiology

|March 13, 2008

Summary

A rare rectal intramural hematoma caused by a foreign object led to perforation. This case highlights the importance of imaging in diagnosing unusual rectal injuries, especially when clinical history is unclear.

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Last Updated: Jul 6, 2026

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors

Published on: February 13, 2026

Area of Science:

Gastroenterology
Radiology
Surgical Pathology

Background:

Intramural hematoma of the alimentary tract is uncommon, typically resulting from blunt trauma, coagulopathy, or anticoagulation therapy.
While it can occur anywhere, the duodenum is the most frequent site; foreign body etiology is exceptionally rare.
Obstructive symptoms are common, and conservative management is often successful, though surgical intervention may be needed for progressive obstruction.

Observation:

This report details a 51-year-old male presenting with a rectal intramural hematoma and rectosigmoid junction perforation.
The cause was identified as a foreign body inserted for masturbation, which obliterated the rectal lumen.
The patient required surgical management due to the intestinal perforation.

Findings:

Rectal intramural hematoma secondary to foreign body insertion is an exceedingly rare presentation.
Imaging modalities including radiography, ultrasonography, and computed tomography are crucial for diagnosis.
Radiologists must be aware of the imaging characteristics, as clinical history often lacks specific diagnostic clues.

Implications:

This case underscores the diagnostic challenges and potential severity of foreign body-induced rectal intramural hematomas.
Familiarity with imaging findings is essential for timely and accurate diagnosis by radiologists.
Prompt surgical intervention is critical in cases of perforation secondary to rectal intramural hematoma.