Colonie Hematoma After Blunt Abdominal Trauma

Intramural Hematoma of the Transverse Colon in Battered Child Syndrome

“…Intramural hematoma of the transverse colon has been described by Stewart et al in a teenager who sustained injury from the handlebar of a bicycle (8). Berezin et al have described a hematoma in the splenic flexure due to a soccer ball injury (9). We could not find a documented case as a result of child abuse.…”

Intramuiral Hematoma of the Descending Colon After Blunt Abdominal Trauma

“…Most cases have been seen in the adult population, with only a few pediatric exceptions. 1,2 The hematoma is induced by blunt trauma, and in most cases the patient denies having a clearly defined history of injury. Intramural hematoma of the transverse colon has been reported in battered child syndrome.…”

“…Intramural hematoma of the colon is a rare complication of blunt trauma to the abdomen. Almost all reported cases are in adults and there are only a few reports in the pediatric age group.12 We report our experience with a 9½h-year-old boy who presented with unexplained abdominal pain 1 day after his 7year-old brother elbowed him in the abdomen. Investigations revealed a hematoma with obstruction of the descending colon.…”

Image: Colonic Hematoma Complicating Pediatric Colonoscopy

“…Colonic intramural hematoma is an uncommon complication of diagnostic colonoscopy, with only a handful of reported cases (2–4). Colonic hematomas have been reported in children secondary to accidental and nonaccidental trauma, bleeding disorders, and anticoagulant therapy (5–8). This is one of the first reported case of colonic hematoma complicating diagnostic colonoscopy in a pediatric patient.…”