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Case Reports
. 2022 Jul-Aug;27(4):476-477.
doi: 10.4103/jiaps.jiaps_93_21. Epub 2022 Jul 26.

Jejunal Intramural Hematoma: Masquerading as a Mass Lesion

Namasivayam Selvarajan  1 , Ramesh Singaravelu  2 , Muralinath Sankaranarayana Reddy  3 , Gopinathan Kathirvelu  4 , Ashitha K Unny  1 , Vidhya Tamizhvanan  1
Affiliations
Case Reports

Jejunal Intramural Hematoma: Masquerading as a Mass Lesion

Namasivayam Selvarajan et al. J Indian Assoc Pediatr Surg. 2022 Jul-Aug.

Abstract

Jejunal intramural hematoma (JIH) is rare. A 5-year-old girl, a known attention-deficit hyperactivity disorder child with paraneoplastic symptoms, on imaging showed a suspicion of Jejunal intramural mass with internal bleeding. Laparotomy showed a JIH. Evacuation of hematoma and Histopathological Examination (HPE) ruled out tumor. Possible explanation of the manifestation is suggested.

Keywords: Attention-deficit hyperactivity disorder; blunt abdominal trauma; child; hollow viscus injury; jejunal hematoma.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Plain X-ray abdomen was normal during initial period of hospitalization. (b) Subsequent plain X-ray abdomen showed dilated bowel loops and soft tissue shadow of a mass in the left hypochondrium. (c and d) Ultrasound showed a poorly defined segmental mural lesion in the proximal gut in the left hypochondrium
Figure 2
Figure 2
(a and b) Contrast computed tomography abdomen showed an intramural extra mucosal polypoid mass of proximal jejunum with internal bleeding in the coronal and longitudinal scans. (c) Circumferential jejunal hematoma of about 10 cm in length from the duodenojejunal junction. (d) Subserosal and intermuscular cavity after the evacuation of hematoma
See this image and copyright information in PMC

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