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April 1959

A Rare Cause of Intestinal Obstruction: Traumatic Intramural Hematoma Associated with Leiomyoma of the Jejunum: Report of a Case

Author Affiliations

Houston, Texas
From the Department of Surgery, Methodist Hospital, and Baylor University College of Medicine Affiliated Hospital.

AMA Arch Surg. 1959;78(4):556-559. doi:10.1001/archsurg.1959.04320040052015

A rare consequence of nonpenetrating injury to the abdominal wall is extravasation of blood into the submucosal or subserosal layer of intestine, which may produce partial or complete obstruction. Leiomyomas are also noted to be a rare cause of intestinal obstruction. There is, however, no report in the literature of a case of intramural hematoma associated with leiomyoma, each being an independent contributing factor, as a cause of intestinal obstruction. The recent finding of such a lesion in a 3-year-old patient, admitted to the surgical service of the Methodist Hospital, led to a review of the literature and the report of this case.

A review of the literature reveals only 11 cases of intestinal obstruction secondary to hematoma of the intestine reported in children. Poer and Woliver1 (1942) reviewed the literature and found from 1875 onward the continual occurrence of injuries to the bowel and mesentery due to nonpenetrating

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