Acute mesenteric haematoma with active bleeding

Case contributed by Dr Maxime St-Amant

Presentation

Trauma from a 10 feet fall.

Patient Data

Age: 65
Gender: Male

CT-scan shows an important mesenteric hematoma with a small central hyperdense portion ("blush") representing active bleeding. This blush probably comes from the ileocolic branch of the SMA. There is also a small hemoperitoneum. The small bowel is normal. No fracture or laceration are seen. 

Case Discussion

The patient was unstable and immediately went in the OR where the hematoma 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: 18th Sep 2015
Tag: junior
Inclusion in quiz mode: Included

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