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Idiopathic intramural hematoma of sigmoid colon. A case report.
MedLine Citation:
PMID:  21988048     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Intramural hematoma of the colon is rare. It may be "spontaneous" in patients with anticoagulant therapy or blood dyscrasia or caused by blunt abdominal trauma. An uncertain origin is also reported, so we have also "idiopathic hematoma". The AA report a new case of uncertain origin and review the literature. The diagnosis is difficult. Symptoms and signs of intestinal obstruction or colic bleeding are often present. Rx plain abdomen and colonoscopy are not diriment. Angio-TC is useful for detailed diagnosis. Resection of colic segment with hematoma is the gold standard therapy, but evacuation of hematoma might be considered. The reported data show that also colic intramural hematoma should be taken into account in cases of colic obstruction or bleeding. This diagnosis should be considered specially in patients with anticoagulant therapy or referred blunt abdominal trauma.
Authors:
Giuseppe De Santis; Federico Sista; Antonio Giuliani; Sergio Leardi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annali italiani di chirurgia     Volume:  82     ISSN:  0003-469X     ISO Abbreviation:  Ann Ital Chir     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-10-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372343     Medline TA:  Ann Ital Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  395-7     Citation Subset:  IM    
Affiliation:
Department of Surgical Science, University of L'Aquila, Italy.
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