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2025, Number 5

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Rev Fac Med UNAM 2025; 68 (5)

Spontaneous Mesenteric Hematoma: A Case Report

Argüello RV, Martínez RDA, Gómez LSI
Full text How to cite this article

Language: Spanish
References: 7
Page: 36-40
PDF size: 194.73 Kb.


Key words:

Hematoma, mesentery, abdomen, acute, pain.

ABSTRACT

Spontaneous mesenteric hematoma is a rare medical condition, usually associated with acute pathologies that often go unnoticed, with an incidence in patients between 8 and 60 years, peaking at 55–56 years, without gender predilection. It is associated with nonspecific clinical presentation such as diffuse abdominal pain, nausea, and vomiting, which vary depending on the location and extent of bleeding. All this makes it a difficult entity to diagnose, both clinically and radiologically. Due to its rarity, we decided to report this case, to be considered as a differential diagnosis in the presence of mesenteric lesions.


REFERENCES

  1. Skudder PA Jr, Craver WL. Mesenteric hematoma suggests ruptureof visceral artery aneurysm. Arch Surg. 1984;119(7):863.doi: 10.1001/archsurg.1984.01390190099023.

  2. Tanioka N, Maeda H, Tsuda S, Iwabu J, Namikawa T, IguchiM, et al. A case of spontaneous mesenteric hematomawith diagnostic difficulty. Surg Case Rep. 2020;6(1):124.

  3. Gómez D, Rahman SH, Guillou PJ. Spontaneous mesenterichaematoma: a diagnostic challenge. Ann R Coll SurgEngl. 2006;88(3):1-3.

  4. Srihari S, Kharde K, Rana KS, Panchabhai S. Spontaneousmesenteric hemorrhage. Med J Dr D Y Patil Univ.2013;6(1):95.

  5. Nakamura S, Yamada T, Nojima T, Naito H, Koga H,Yamashita H, et al. A case of spontaneous mesenteric hematomasuccessfully diagnosed and treated with aggressiveimaging. Int J Surg Case Rep. 2019;65:124-6.

  6. Espil G, Larrañaga N, Díaz Villarroel N, Oyarzun A,Matzke G, Kozima S. Hemorragia abdominal espontánea:evaluación por imágenes [Internet]. Webcir.org; 2015[citado 24 de noviembre de 2021]. Disponible en: https://www.webcir.org/revistavirtual/articulos/2015/noviembre/argentina/rar/spontáneo.pdf

  7. Dowe MF, Shanmuganathan K, Mirvis SE, Steiner RC,Cooper C. CT findings of mesenteric injury after blunttrauma: implications for surgical intervention. AJR Am JRoentgenol. 1997;168(2):425-9.




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Rev Fac Med UNAM . 2025;68