Spontaneous submucosal hematoma in the sigmoid colon causing complete intestinal obstruction in a patient with cerebral palsy

Küçük Resim Yok

Tarih

2021

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Kuwait Medical Assoc

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Background: Intestinal submucosal hematoma (ISH) is often associated with coagulopathy and anticoagulant drug use. ISH is frequently seen in the esophagus, duodenum and rarely in small intestine in the gastrointestinal tract. It is very rare in the colon. In this case report, we present a 20-year-old male patient who developed intestinal obstruction due to spontaneous submucosal hematoma in the sigmoid colon. In the light of our English literature review, it was found that this was the first case in which spontaneous submucosal hematoma was detected in the sigmoid colon. Case Report: In this case report, a 20-year-old male patient with a diagnosis of ileus with peroperative spontaneous submucosal hematoma was discussed. The patient had been suffering from inability to defecate and rectal bleeding with mucus for three days. The patient underwent laparotomy with the diagnosis of mechanical intestinal obstruction. Conclusion: ISH is a clinical picture that frequently occurs due to anticoagulant use. It should be investigated in terms of ISH when prolonged international normalized ratio is detected in elderly patients applying with abdominal pain. Surgical treatment should be performed in the presence of unimpaired intestinal obstruction or peritonitis.

Açıklama

Anahtar Kelimeler

hematoma, intestinal, obstruction, spontaneous, submucosal

Kaynak

Kuwait Medical Journal

WoS Q Değeri

Q4

Scopus Q Değeri

N/A

Cilt

53

Sayı

2

Künye