{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T09:01:28Z","timestamp":1790067688400,"version":"4.0.1"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acute colonic intramural hematomas are rare but clinically significant. They are associated with anticoagulation use, coagulopathies, and trauma. We report a case of a 20-year-old male who was referred to the trauma hospital from an outside institution with right lower quadrant pain and a palpable mass the day of a motor vehicle accident. Computed tomography and magnetic resonance imaging showed an intramural colonic hematoma (measuring 8.3\u00a0cm AP \u00d7 10.7\u00a0cm TR \u00d7 13.8\u00a0cm long). The patient was initially managed conservatively due to stable hemodynamic status and normal hemoglobin levels. However, the patient\u2019s clinical status deteriorated and therefore underwent surgical intervention. Exploratory laparotomy confirmed a large intramural hematoma with a ruptured lateral cecal\/ascending colonic wall. An open right hemicolectomy with ileocolonic anastomosis was performed. The final pathologic diagnosis was a hemorrhagic infarction of the colon. The patient recovered well and was discharged home 7 days after surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjag849","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T11:48:56Z","timestamp":1789040936000},"source":"Crossref","is-referenced-by-count":0,"title":["When the colon takes a hit: a rare case of acute colonic intramural hematoma after blunt abdominal trauma"],"prefix":"10.1093","volume":"2026","author":[{"given":"Natasha L","family":"Frontera","sequence":"first","affiliation":[{"name":"Department of Surgery, Menonita Health System , Carr 14, Barrio Rincon, Cayey 00736 ,","place":["Puerto Rico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Diaz Rivera","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Puerto Rico School of Medicine , Paseo Dr Jose Celso Barbosa, San Juan 00921 ,","place":["Puerto Rico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabiola A","family":"Ortega-Guzman","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Puerto Rico School of Medicine , Paseo Dr Jose Celso Barbosa, San Juan 00921 ,","place":["Puerto Rico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agustin A","family":"Rodriguez Lopez","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Puerto Rico School of Medicine , Paseo Dr Jose Celso Barbosa, San Juan 00921 ,","place":["Puerto Rico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis A","family":"Santiago-Sulsona","sequence":"additional","affiliation":[{"name":"Department of Surgery, San Lucas Episcopal Health System , 917 Av Tito Castro, Ponce 00732 ,","place":["Puerto Rico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia B","family":"Sotomayor Rivera","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Puerto Rico School of Medicine , Paseo Dr Jose Celso Barbosa, San Juan 00921 ,","place":["Puerto Rico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Rodr\u00edguez-Ortiz","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Puerto Rico School of Medicine , Paseo Dr Jose Celso Barbosa, San Juan 00921 ,","place":["Puerto Rico"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"2026092204173905600_ref1","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1016\/0002-9610(77)90528-1","article-title":"Intramural hematoma of the gastrointestinal tract","volume":"133","author":"Hughes","year":"1977","journal-title":"Am J Surg"},{"key":"2026092204173905600_ref2","doi-asserted-by":"publisher","first-page":"e9694","DOI":"10.7759\/cureus.9694","article-title":"Traumatic acute colonic intramural hematoma: a rare entity and successful expectant 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the colon following blunt trauma to the abdomen","volume":"34","author":"Nance","year":"1968","journal-title":"Am Surg"},{"key":"2026092204173905600_ref7","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1097\/00004728-198204000-00032","article-title":"Intramural hematoma of the cecum following blunt trauma","volume":"6","author":"Jeffrey","year":"1982","journal-title":"J Comput Assist Tomogr"},{"key":"2026092204173905600_ref8","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.1097\/00007611-198610000-00030","article-title":"Nonoperative treatment of a traumatic intramural hematoma of the ascending colon","volume":"79","author":"Welling","year":"1986","journal-title":"South Med J"},{"key":"2026092204173905600_ref9","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1007\/s10350-004-6240-y","article-title":"Intramural hematoma of the cecum: report of two cases","volume":"45","author":"Calabuig","year":"2002","journal-title":"Dis Colon 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A case report and review of the literature","volume":"82","author":"Alzeerelhouseini","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"2026092204173905600_ref12","doi-asserted-by":"publisher","first-page":"e51461","DOI":"10.7759\/cureus.51461","article-title":"A rare case of traumatic colonic intramural hematoma in Saudi Arabia","volume":"16","author":"Ibraheem","year":"2024","journal-title":"Cureus"},{"key":"2026092204173905600_ref13","doi-asserted-by":"publisher","first-page":"178","DOI":"10.36303\/SAJS.02270","article-title":"Colonic obstruction secondary to trauma induced intramural haematoma: a rare case report","volume":"63","author":"M\u00f6ller","year":"2025","journal-title":"S Afr J Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag849\/71302799\/rjag849.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag849\/71302799\/rjag849.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T08:17:41Z","timestamp":1790065061000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag849\/8826494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag849","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag849"}}