Fact-sheet: Parietal intestinal hemorrhage - hematoma


Updated on 09/17/2021 at 12:16 PM

Note : 0/10

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Definition

Hemorrhagic infiltration of the bowel wall most often caused by coagulation disorders, anticoagulation, Henoch-Schönlein purpura, or Hemolytic-uremic syndrome

Clinical features

Variable abdominal pain
Mild signs of peritoneal irritation
Progressive obstructive syndrome

Laboratory findings

Coagulation workup +++

CT

Circumferential wall thickening, spontaneously hyperdense
Infiltration of the surrounding fat
Reactive peritoneal effusion
+/- upstream bowel obstruction