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Updated: Apr 14, 2026
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Large intraluminal ileal hematoma presenting as small bowel obstruction in a child
Yun Jung Lim1, So Hyun Nam2, Seon Jeong Kim1
1Department of Radiology, Haeundae Paik Hostpital, Inje University, Inje, South Korea.
Insights
Intraluminal small bowel hematoma is a rare cause of intestinal obstruction in children. Imaging findings like CT and US can help diagnose this unusual cystic mass.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Intraluminal small bowel hematoma is an uncommon condition in pediatric patients.
- It can manifest as a cause of small bowel obstruction.
Observation:
- A case of a child presenting with small bowel obstruction due to an intraluminal ileal hematoma is described.
- Computed Tomography (CT) revealed a hyperdense lesion in the distal ileum.
- Abdominal ultrasonography (US) showed an echogenic mass with septa.
Findings:
- The provisional diagnosis was a complicated cystic mass causing obstruction.
- Histopathology confirmed the lesion as a submucosal ileal hematoma.
- This rare condition can mimic a cystic mass.
Implications:
- Intraluminal small bowel hematoma should be considered in the differential diagnosis of pediatric small bowel obstruction.
- Characteristic US and CT findings may aid in the future diagnosis of this rare entity.
Abstract:
Intraluminal small bowel hematoma has been rarely reported in children, as a rare cause of small bowel obstruction. We present a case of an intraluminal ileal hematoma presenting as small bowel obstruction in a child. Computed Tomography (CT) indicated a large intraluminal hyperdense lesion in the distal ileum as the cause of small bowel obstruction. Abdominal ultrasonography (US) showed an echogenic mass-like lesion with multiple septa in the distal ileum. Small bowel obstruction due to a complicated cystic mass was provisionally diagnosed. Histopathologic examination of the resected mass suggested a submucosal ileal hematoma. Although intraluminal small bowel hematoma is rare in children, it can present as an intraluminal cystic mass and should be considered as a rare cause of small bowel obstruction. The US and CT findings of submucosal ileal hematoma could be useful for the diagnosis of such cases in the future.
