Presentation
Blunt abdominal trauma and consequent abdominal colicky pain and intermittent vomiting.
Patient Data
Age: 20 years
Gender: Male
From the case:
Intramural hematoma of the ascending colon
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Large mural hyperdense lobulated margin collection with axial width up to 65 x 60 mm and height up to 135 mm within the anterior and lateral wall of the ascending colon extended within hepatic flexure with impression on the related colon lumen and adjacent liver is seen.
Case Discussion
The case illustrates the non-contrast MDCT features of intramural hematoma in ascending colon and hepatic flexure in a patient with blunt abdominal trauma. This is a rare finding and coagulation disorders must be ruled out with management in most cases being surgical 1. The major complications are hypovolemia and shock 1.
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