Spontaneous mesenteric hematoma complicating an exacerbation of Crohn’s disease: report of a case

BMC Surgery

Case Report

Pawan Mathur¹  Derek J Boyle¹  James HR Manfield¹  Anuja Mitra¹  Hutan Ashrafian² 

[1] Department of General Surgery, Barnet Hospital, Barnet and Chase Farm Hospitals NHS Trust, EN5 3DJ, Wellhouse Lane, Barnet, UK;Department of General Surgery, Barnet Hospital, Barnet and Chase Farm Hospitals NHS Trust, EN5 3DJ, Wellhouse Lane, Barnet, UK;Department of Surgery and Cancer, Imperial College London, 10th Floor QEQM Building, St Mary’s Hospital, Praed Street, W2 1NY, London, UK;

关键词: Crohn’s disease;    Mesenteric haematoma;    Inflammatory bowel disease;    Surgery;   

DOI  :  10.1186/1471-2482-14-35

 received in 2013-07-17, accepted in 2014-05-27,  发布年份 2014

来源: Springer

【 摘 要 】

Case PresentationSpontaneous mesenteric haematoma is a rare condition that occurs due to localized bleeding in the mesenteric vascular tree of a bowel segment in the absence of an identifiable cause. Here we report a case of spontaneous mesenteric haematoma during an inflammatory exacerbation of Crohn’s disease. The patient underwent surgical management for small bowel obstruction secondary to Crohn’s disease, however the concurrent presence of a spontaneous mesenteric haematoma in the mid-jejunal mesentery was successfully managed conservatively.ConclusionThis case identifies the first association of spontaneous mesenteric haematoma with an exacerbation of Crohn’s disease and highlights the need to consider rare differential diagnoses such as SMH when performing radiological assessment of unexplained symptoms in inflammatory bowel disease patients.

【 授权许可】

CC BY   
© Ashrafian et al.; licensee BioMed Central Ltd. 2014