title: Large intraluminal ileal hematoma presenting as small bowel obstruction in a child.
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.
authors.affiliation: Department of Radiology, Haeundae Paik Hostpital, Inje University, Inje, South Korea.
authors.forename: Yun Jung
authors.initials: YJ
authors.lastname: Lim
authors.affiliation: Department of Pediatric Surgery, Haeundae Paik Hostpital, Inje University, Inje, South Korea.
authors.forename: So Hyun
authors.initials: SH
authors.lastname: Nam
authors.affiliation: Department of Radiology, Haeundae Paik Hostpital, Inje University, Inje, South Korea.
authors.forename: Seon Jeong
authors.initials: SJ
authors.lastname: Kim
keywords: Hematoma; Intestinal obstruction; Ultrasonography