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September 1964

Intramural Hematoma of the Small Bowel: A Report of Two Cases and a Review of the Literature

Author Affiliations

From the Departments of Surgery and Radiology, Indiana University Medical Center.

Arch Surg. 1964;89(3):527-535. doi:10.1001/archsurg.1964.01320030117020

Intramural hematoma of the small bowel, although rare, has been reported with increasing frequency in recent years. If the lesion is suspected, a correct diagnosis can frequently be established by roentgenographic study. The results of proper treatment are excellent. In this report two new cases are presented and the literature is reviewed.

Report of Cases 

Case 1.  —A 12-year-old boy was admitted to the hospital on Oct 25, 1959, because of abdominal pain and vomiting. He had been well until two days before admission when he fell from his bicycle, striking his abdomen. He complained of abdominal pain, but this soon subsided. That night he did not eat well. On the day before admission, he vomited frequently and abdominal pain recurred.Examination revealed a pulse rate of 72 per minute and a temperature of 99.2 F (37.3 C). There was generalized spasm of the abdominal musculature. Exquisite direct tenderness was

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