title: Computed Tomography and Magnetic Resonance Imaging Findings in a Case of Colonic Intramural Hematoma After Mild Blunt Abdominal Trauma.
abstract: Intramural hematomas can occur along any part of the gastrointestinal tract, being more common in the duodenum, jejunum, and ileum. Intramural colonic hematomas are very rare, and their main causes include abdominal trauma, anticoagulation, and coagulopathies. We report on a 27-year-old man with right lower quadrant pain for 1 day after a mild blunt trauma sustained during a soccer match. Computed tomography and magnetic resonance imaging evaluation revealed an intramural hematoma of the right colon, subsequently confirmed and drained through laparoscopic surgery. Although computed tomography and magnetic resonance imaging findings in such a context are scarce in the radiological literature, imaging has an important role in the preoperative diagnosis and evaluation of the extent of bowel hematomas to assist in treatment planning.
authors.affiliation: From the *Grupo Fleury; †Department of Radiology, Hospital de Base, São José do Rio Preto Medical School; and ‡Department of Imaging, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Ulysses S
authors.initials: US
authors.lastname: Torres
authors.forename: Daniel Nicoletti
authors.initials: DN
authors.lastname: Cesar
authors.forename: Giuseppe
authors.initials: G
authors.lastname: DʼIppolito
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000000981:diagnostic imaging*; D000328:Adult; D003108:Colonic Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging*