Clin Endosc.  2017 Sep;50(5):508-509. 10.5946/ce.2017.037.

Immediate Endoscopic Management of an Intramural Hematoma Developed during Colonoscopy

• Kwon CI
• Kim DH
• Hong SP

• KMID: 2394754
• DOI: http://doi.org/10.5946/ce.2017.037

Abstract

No abstract available.

MeSH Terms

Colonoscopy*
Hematoma*

Figure

• 

  Fig. 1. Colonoscopic images showing an intramural hematoma. (A) An intramural hematoma observed in the sigmoid colon. (B) Rapid increase in the size of the intramural hematoma, and placement of three endoscopic clips at the suspected sites of active bleeding (arrows). (C) Application of Dual knife (Olympus, Tokyo, Japan) to excise and evacuate the hematoma. (D) Active bleeding noted from the hematoma.

• 

  Fig. 2. Follow-up colonoscopic images after endoscopic treatment. (A) Flattened hematoma without secondary bleeding. (B) No evidence of further bleeding after 3 hours of observation.

Reference

1. Liu Y, Yang S, Tong Q. Spontaneous intramural hematoma of colon. Clin Gastroenterol Hepatol. 2012; 10:e38.

2. Gallo D, Tebrock C, Rivera D. Intramural cecal hematoma: an unusual complication of colonoscopy. Gastrointest Endosc. 2003; 57:254–257.

3. Jongwutiwes U, Shaukat A, Pocha C. Image of the month. Intramural cecal hematoma: a rare complication after colonoscopy. Clin Gastroenterol Hepatol. 2009; 7:A32.

4. Katsurahara M, Horiki N, Kitade T, et al. Acute colonic intramural hematoma: a rare complication of colonoscopy. Endoscopy. 2014; 46 Suppl 1 UCTN:E180–E181.

5. Hughes CE 3rd, Conn J Jr, Sherman JO. Intramural hematoma of the gastrointestinal tract. Am J Surg. 1977; 133:276–279.

6. Kwon K, Cheung DY, Seo Y, et al. Supportive management resolved a colonic intramural hematoma in an anticoagulant user. Intern Med. 2014; 53:1505–1509.

7. Lobo L, Koudki R, Prasad Hl K, Shetty B. Colon obstruction due to an anticoagulant induced intramural haematoma; a rare case report. J Clin Diagn Res. 2013; 7:739–741.