A case of large bowel obstruction by colonic idiopathic intramural hematoma that responded to conservative management

Michiya Bando, Yuji Sato, Masaki Mori, Yujiro Murata, Shoichi Hattori, Nagayuki Kurata, Noriyasu Tamura, Yoshinori Oikawa, Koichi Yagi, Satoshi Nakamura

Research output: Contribution to journalArticle

Abstract

An 82-year-old man was admitted to our hospital because of abdominal distention and vomiting. He did not have a history of anticoagulant medication or trauma. We diagnosed large bowel obstruction on Xray film. Abdominal US, CT, and MRI showed a mass of 6 cm inside of the wall of descending colon. Gastrografin enema showed the stenotic colonic lumen occupied by the mass. Its surface was covered with normal colonic mucosa on colonoscopy, colored dark red. We diagnosed it as a colonic intramural hematoma. We thought of the possibility of avoiding laparotomy. For about 4 weeks, we performed conservative management with a transanal ileus tube. After removing the tube, he left hospital. The colonic intramural hematoma had disappeared on MRI and colonoscopy three months later. We present a rare case of large bowel obstruction by idiopathic colonic intramural hematoma. There is no report of such a case resolved with conservative management by a transanal ileus tube, within the visualization range.

Original languageEnglish
Pages (from-to)906-912
Number of pages7
JournalJapanese Journal of Gastroenterological Surgery
Volume44
Issue number7
DOIs
Publication statusPublished - Sep 27 2011
Externally publishedYes

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Hematoma
Ileus
Colonoscopy
Diatrizoate Meglumine
Descending Colon
X-Ray Film
Enema
Laparotomy
Anticoagulants
Vomiting
Mucous Membrane
Wounds and Injuries
Conservative Treatment

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

Cite this

A case of large bowel obstruction by colonic idiopathic intramural hematoma that responded to conservative management. / Bando, Michiya; Sato, Yuji; Mori, Masaki; Murata, Yujiro; Hattori, Shoichi; Kurata, Nagayuki; Tamura, Noriyasu; Oikawa, Yoshinori; Yagi, Koichi; Nakamura, Satoshi.

In: Japanese Journal of Gastroenterological Surgery, Vol. 44, No. 7, 27.09.2011, p. 906-912.

Research output: Contribution to journalArticle

Bando, Michiya ; Sato, Yuji ; Mori, Masaki ; Murata, Yujiro ; Hattori, Shoichi ; Kurata, Nagayuki ; Tamura, Noriyasu ; Oikawa, Yoshinori ; Yagi, Koichi ; Nakamura, Satoshi. / A case of large bowel obstruction by colonic idiopathic intramural hematoma that responded to conservative management. In: Japanese Journal of Gastroenterological Surgery. 2011 ; Vol. 44, No. 7. pp. 906-912.
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AU - Hattori, Shoichi

AU - Kurata, Nagayuki

AU - Tamura, Noriyasu

AU - Oikawa, Yoshinori

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