Acute mesenteric haematoma with active bleeding

Case contributed by Dr Maxime St-Amant

Presentation

Trauma: fall 10 feet.

Patient Data

Age: 65 years
Gender: Male

CT shows a mesenteric haematoma with a small central hyperdense focus ("blush") representing active bleeding. This blush probably comes from the ileocolic branch of the superior mesenteric artery. There is also a small haemoperitoneum. The small bowel is normal. No fracture or laceration are seen. 

Case Discussion

The patient was unstable with immediate transfer to the operating theatre where the haematoma with active bleeding was confirmed. The small bowel was intact and not resected.

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Case information

rID: 20112
Case created: 3rd Nov 2012
Last edited: 28th Jul 2017
Tag: junior
Inclusion in quiz mode: Included

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