A Case of Hemorrhagic Shock due to Spontaneous Mesenteric Hematoma

Abstract

A 52-year-old man was transported to our hospital with abdominal pain. He had no medical and familial history. Contrast-enhanced computed tomography showed a hematoma with extravasation, and emergency laparotomy was performed.

Intraoperative findings showed a mesenteric hematoma spreading from the transverse colon to the sigmoid and ascending colon. The hematoma was removed, and the source of bleeding was not clearly identified. After a vasopressor was given, bleeding from a branch of the middle colic artery was observed. There was no intestinal ischemia, and only the source of bleeding was ligated, without bowel resection. The patient's postoperative course was uneventful. Spontaneous mesenteric hematoma is very rare. This rare case is reported along with a literature review.