Concussion of the colon: paediatric patient with traumatic cecal haematoma. Issue 12 (12th December 2020)

• Record Type: Journal Article
• Authors: Sharma, Ishna; Moote, Douglas; Campbell, Brendan T
• Is Part Of: BMJ case reports. Volume 13:Issue 12(2020)
• Publication Date: 2020-12-12
• Subjects: paediatric surgery -- general surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-236066
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 14-year-old boy was injured from playing football, and subsequently developed worsening abdominal pain. CT of the abdomen and pelvis was concerning for a mass of ascending colon, with free fluid in the pelvis. The patient was emergently taken to the operating room where he was found to have a cecal haematoma. The patient underwent a right hemicolectomy and ileocolostomy and was discharged home just days later without any acute complications. As cecal haematomas are a rare entity, the best approach to management is not well defined. When the diagnosis is uncertain, or if the possibility of full-thickness injury exists, exploratory laparoscopy or laparotomy is the safest approach.