A Case of Right Hemicolectomy for Traumatic Intramural Hematoma of the Ascending Colon

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  • Kawano Makiko
    Department of General and Gastroenterological Surgery, Toho University Omori Medical Center
  • Kochi Ryosuke
    Department of General Medicine and Emergency Care, Toho University Omori Medical Center
  • Onishi Ken
    Department of General and Gastroenterological Surgery, Toho University Omori Medical Center
  • Sasajima Natsuko
    Department of General and Gastroenterological Surgery, Toho University Omori Medical Center
  • Ikeda Yuichi
    Department of General and Gastroenterological Surgery, Toho University Omori Medical Center
  • Minagawa Teruhiko
    Department of General Medicine and Emergency Care, Toho University Omori Medical Center
  • Honda Yoshiko
    Department of General Medicine and Emergency Care, Toho University Omori Medical Center
  • Fukazawa Yuri
    Department of Diagnostic Pathology, Toho University Omori Medical Center
  • Tochigi Naofumi
    Department of Diagnostic Pathology, Toho University Omori Medical Center
  • Shimada Nagato
    Department of General Medicine and Emergency Care, Toho University Omori Medical Center
  • Urita Yoshihisa
    Department of General Medicine and Emergency Care, Toho University Omori Medical Center
  • Shibuya Kazuhisa
    Department of Diagnostic Pathology, Toho University Omori Medical Center
  • Funahashi Kimihiko
    Department of General and Gastroenterological Surgery, Toho University Omori Medical Center

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Other Title
  • 外傷性上行結腸壁内血腫の診断で結腸右半切除術を行った1例
  • ガイショウセイ ジョウギョウ ケッチョウヘキ ナイ ケッシュ ノ シンダン デ ケッチョウ ミギ ハンセツジョジュツ オ オコナッタ 1レイ

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Abstract

<p>A 53-year-old man was referred to us from another hospital for acute abdomen. The patient had a history of sustaining injury when he hit his right chest against a fence while at work. Contrast-enhanced CT at the previous hospital suggested a hematoma in the ascending colon. A repeat CT performed 3 hours later showed enlargement of the hematoma, and we performed emergency surgery. Gastrointestinal injuries resulting from blunt abdominal trauma frequently include perforation and mesenteric injuries; intramural hematoma is rare and is more commonly seen in the duodenum. Herein, we report a rare case of intramural hematoma occurring in the colon, along with a review of the literature.</p>

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