Acute mesenteric hematoma with active bleeding

Case contributed by Maxime St-Amant


Trauma: fall 10 feet.

Patient Data

Age: 65 years
Gender: Male

CT shows a mesenteric hematoma 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 hemoperitoneum. The small bowel is normal. No fracture or laceration are seen. 

Case Discussion

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

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