A Case Report of Spontaneous Intramural Hematoma of the Rectum

Keisuke Uehara, Hiroshi Hasegawa, Seiji Ogiso, Masaya Siomi, Masato Momiyama, Tuyoshi Igami, Shusaku Ohira, Takeshi Amemiya, Yuu Tkahasi and Susumu Miyazaki

Department of Surgery, Nagoya Daini Red Cross Hospital

A 62-years-old woman visited our hospital with sudden lower abdominal pain. On admission, pelvic CT showed a large retro-rectal mass and Ba-enema and colonoscopy showed a compression of the rectum without irregularity of the mucosa. We suspected a malignant gastrointestinal stromal tumor and Mile's operation was performed. Histopathological examination of the resected specimen failed to reveal a neoplasm but only a hematoma in the rass. Because of no etiologic factors like abdominal trauma and anticoagulant therapy, we diagnosed spontaneous intramural hematoma of the rectum. Intramural hematoma of the colon is a rare disease and the operative indication and therapy have not been established

Key words
spontaneous intramural hematoma, hematoma of the rectum

Reprint requests
Keisuke Uehara Department of Surgery, Nagoya Daini Red Cross Hospital 2-9 Myouken-tyou, Shouwa-ku, Nagoya, 466-8650 JAPAN

Accepted
May 25, 1999

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