Crema M D, Arrivé L, Monnier-Cholley L, Tubiana J M
Service de Radiologie, Hôpital Saint-Antoine, 184 rue du Faubourg Saint-Antoine, 75012 Paris.
J Radiol. 2004 Dec;85(12 Pt 1):2039-41. doi: 10.1016/s0221-0363(04)97779-7.
Intramural hematoma of the colon is a rare complication of blunt abdominal trauma. We report the case of a 32-year-old man who presented with abdominal pain related to blunt trauma. The initial diagnosis of post-traumatic intramural hematoma of the colon was performed at CT scan and proven at colonoscopy. Although the majority of cases warrant surgery, conservative therapy was proposed in the present case with spontaneous resolution of the hematoma demonstrated by CT scan.
结肠壁内血肿是钝性腹部创伤的一种罕见并发症。我们报告一例32岁男性患者,因钝性创伤出现腹痛。最初通过CT扫描诊断为创伤后结肠壁内血肿,并经结肠镜检查证实。尽管大多数病例需要手术治疗,但本例通过CT扫描显示血肿自发消退,故建议采取保守治疗。