Occlusive intraluminal hematoma

We report an unusual case of a 10-month-old girl who developed partial small-bowel obstruction caused by an intraluminal hematoma within the terminal ileum. Passage of bright red blood through her rectum prompted radiologic evaluation with computed tomography, barium enema, and ultrasound. These rev...

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Veröffentlicht in:	Pediatric radiology 2004-07, Vol.34 (7), p.564-566
Hauptverfasser:	Zangan, Steven M, Yousefzedah, David K
Format:	Artikel
Sprache:	eng
Schlagworte:	Barium Sulfate Contrast Media Diagnosis, Differential Enema Female Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - surgery Hematoma - complications Hematoma - diagnosis Hematoma - surgery Humans Ileal Diseases - diagnosis Ileal Diseases - etiology Ileal Diseases - surgery Infant Intestinal Obstruction - etiology Intestinal Obstruction - surgery Tomography, X-Ray Computed Ultrasonography
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Beschreibung
Zusammenfassung:	We report an unusual case of a 10-month-old girl who developed partial small-bowel obstruction caused by an intraluminal hematoma within the terminal ileum. Passage of bright red blood through her rectum prompted radiologic evaluation with computed tomography, barium enema, and ultrasound. These revealed an avascular right lower-quadrant mass within the lumen of the terminal ileum. An exploratory laparotomy was performed, and a large obstructing hematoma was removed.
ISSN:	0301-0449 1432-1998
DOI:	10.1007/s00247-003-1138-8