Fig 3 - available via license: Creative Commons Attribution 4.0 International
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A Shows the hematoma after catheter intervention and B shows the collapse of the wall of the mesenteric hematoma, with leaking into the intra-abdominal cavity (round). A little air mixed in the hematoma during catheter intervention. The position and amount of air have not changed between both figures
Source publication
Background
Non-traumatic mesenteric hematomas are usually well controlled, with no resulting symptoms. Herein, we report a case in which collapse of a large mesenteric hematoma, after rupture of a right colic artery aneurysm, caused small bowel obstruction and rapid absorption of the hematoma contributed to cholestasis.
Case presentation
A-44-year...
Contexts in source publication
Context 1
... diagnosis was made of rupture of the aneurysm of the right colic artery, and catheter embolization of the ruptured right colic artery was performed (Fig. 2). Although cessation of bleeding was achieved, a large hematoma, with a major axis of 150 mm, remained in the ascending colic mesentery after catheter embolization (Fig. 3A). As the patient had no associated symptoms, he was discharged from the hospital on day 6 after onset. On day 16, however, the patient developed sudden onset of severe right lower abdominal pain. Although there was no evidence of re-bleeding on enhanced computed (CT) imaging, a collapse of the residual hematoma wall was observed, with ...
Context 2
... he was discharged from the hospital on day 6 after onset. On day 16, however, the patient developed sudden onset of severe right lower abdominal pain. Although there was no evidence of re-bleeding on enhanced computed (CT) imaging, a collapse of the residual hematoma wall was observed, with visible leakage into the intra-abdominal cavity (Fig. 3B). Figure 3 shows a little air existed in the hematoma, although the position and amount of air have not changed between both Fig. 3A, B. Therefore, we considered that the air mixed during catheter and the hematoma did not have infection. After readmission, the patient developed a small bowel obstruction (Fig. 4), with an elevated level ...
Context 3
... there was no evidence of re-bleeding on enhanced computed (CT) imaging, a collapse of the residual hematoma wall was observed, with visible leakage into the intra-abdominal cavity (Fig. 3B). Figure 3 shows a little air existed in the hematoma, although the position and amount of air have not changed between both Fig. 3A, B. Therefore, we considered that the air mixed during catheter and the hematoma did not have infection. After readmission, the patient developed a small bowel obstruction (Fig. 4), with an elevated level of biliary enzymes from day 20 (Fig. 5). ...
Context 4
... lower abdominal pain. Although there was no evidence of re-bleeding on enhanced computed (CT) imaging, a collapse of the residual hematoma wall was observed, with visible leakage into the intra-abdominal cavity (Fig. 3B). Figure 3 shows a little air existed in the hematoma, although the position and amount of air have not changed between both Fig. 3A, B. Therefore, we considered that the air mixed during catheter and the hematoma did not have infection. After readmission, the patient developed a small bowel obstruction (Fig. 4), with an elevated level of biliary enzymes from day 20 (Fig. 5). CT and ultrasound images revealed dilation of the gallbladder and biliary sludge, but with ...
