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Perforated spontaneous intestinal intramural haematoma
Annals of the Royal College of Surgeons of England
|August 31, 2021
Summary
Spontaneous intestinal intramural hematomas are rare, especially in children without anticoagulation. This case highlights a young girl with a ruptured hematoma, leading to pneumoperitoneum and requiring surgery.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Abdominal Imaging
Background:
- Spontaneous intestinal intramural hematomas (SIH) are infrequent, often associated with anticoagulation or trauma.
- SIH can present with non-specific abdominal symptoms, posing diagnostic challenges.
Observation:
- A pediatric patient presented with generalized abdominal pain and pneumoperitoneum.
- Surgical exploration revealed multiple ileal intramural hematomata with suspected perforation and abscess formation.
Findings:
- The case represents the first reported instance of a ruptured spontaneous intestinal intramural hematoma in a young girl.
- The patient had no known history of anticoagulation therapy or underlying coagulation disorders.
Implications:
- This case expands the understanding of spontaneous intestinal intramural hematoma presentations in pediatric populations.
- It underscores the importance of considering SIH in children with acute abdominal symptoms, even without typical risk factors.
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