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Delayed presentation of a caecal haematoma initially managed as appendicitis

Adam J Oates1, Jonathan Sutcliffe, Jens Stahlschmidt

  • 1Clarendon Wing Radiology Department, Leeds Children's Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, LS2 9NS, UK.

Pediatric Radiology
|August 2, 2013
PubMed

Insights

A rare case of caecal haematoma in a 15-year-old boy led to small bowel obstruction and near perforation, necessitating surgical intervention. This highlights unique management considerations for this condition in adolescents.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery

Background:

  • Caecal haematoma is a rare condition, typically presenting with acute abdominal pain.
  • Adolescent presentation can differ, with potential for delayed diagnosis after minor trauma.

Observation:

  • A 15-year-old male presented with symptoms several days after minor trauma.
  • The patient developed small bowel obstruction and a near-perforation of the caecum.

Findings:

  • The patient required a right hemicolectomy for management of the caecal haematoma and its complications.
  • The anatomical position of the caecum presents unique surgical challenges.

Implications:

  • This case underscores the importance of considering caecal haematoma in adolescents with abdominal pain, even after minor trauma.
  • Specialized surgical approaches are necessary due to the caecum's anatomical location.

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