Report of a case with a spontaneous mesenteric hematoma that ruptured into the small intestine

Daichi Shikata, Hiroshi Nakagomi, Atsushi Takano, Takahiro Nakagomi, Hideki Watanabe, Masahiro Maruyama, Haruka Nakada, Atsushi Yamamoto, Kazushige Furuya, Masao Hada, Yoshiaki Miyasaka, Masao Omata, Toshio Oyama

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3 Citations (Scopus)

Abstract

Introduction A spontaneous mesenteric hematoma is a rare condition. Furthermore, it is extremely rare that the mesenteric hematoma caused gastrointestinal bleeding with an unknown etiology. We experienced a case with a spontaneous mesenteric hematoma that ruptured into the jejunum. Presentation of case A 75-year-old man was referred to our hospital because of anal bleeding and anemia. Abdominal computed tomography (CT) showed a low density mass measuring 3.0 cm in diameter, including an enhanced spot. This finding suggested that a pseudo-aneurysm or mesenteric hematoma caused active bleeding into the jejunum. He underwent emergent laparotomy and partial resection of the jejunum and the mesentery including the tumor. A histological examination of the jejunum indicated no pathogenic findings causing active bleeding. And there were no findings suggesting the mesenteric aneurysm had developed. The patient had no history related to the development of a mesenteric hematoma, such as trauma, labor, surgery, or anticoagulant treatment. Therefore, we finally diagnosed that a spontaneous mesenteric hematoma had ruptured into the jejunum. Discussion and conclusion We reported extremely rare condition that the mesenteric hematoma was developed and ruptured into the jejunum without definitive etiology.

Original languageEnglish
Pages (from-to)124-127
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume24
DOIs
Publication statusPublished - 2016

Keywords

  • Anal bleeding
  • Etiology
  • Ruptured into the jejunum
  • Spontaneous mesenteric hematoma

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    Shikata, D., Nakagomi, H., Takano, A., Nakagomi, T., Watanabe, H., Maruyama, M., Nakada, H., Yamamoto, A., Furuya, K., Hada, M., Miyasaka, Y., Omata, M., & Oyama, T. (2016). Report of a case with a spontaneous mesenteric hematoma that ruptured into the small intestine. International Journal of Surgery Case Reports, 24, 124-127. https://doi.org/10.1016/j.ijscr.2016.05.034