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Delayed presentation of a caecal haematoma initially managed as appendicitis

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Abstract

A 15-year-old boy with caecal haematoma required a right hemicolectomy due to development of small bowel obstruction and near caecal perforation having presented several days after an episode of minor trauma. The position of the caecum between intraperitoneal and extraperitoneal bowel requires special treatment considerations. This is a unique case in an adolescent because caecal haematoma usually presents acutely with abdominal pain.

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Author notes

  1. Adam J. Oates

    Present address: Radiology Department, Birmingham Children’s Hospital, Birmingham, UK

Authors and Affiliations

  1. Clarendon Wing Radiology Department, Leeds Children’s Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, LS2 9NS, UK

    Adam J. Oates & Jeannette K. Kraft

  2. Department of Paediatric Surgery, Leeds Children’s Hospital, Leeds, UK

    Jonathan Sutcliffe

  3. Department of Histopathology, St. James’s University Hospital, Leeds, UK

    Jens Stahlschmidt

Authors
  1. Adam J. Oates
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  2. Jonathan Sutcliffe
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  3. Jens Stahlschmidt
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  4. Jeannette K. Kraft
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Corresponding author

Correspondence to Jeannette K. Kraft.

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Oates, A.J., Sutcliffe, J., Stahlschmidt, J. et al. Delayed presentation of a caecal haematoma initially managed as appendicitis. Pediatr Radiol 44, 112–114 (2014). https://doi.org/10.1007/s00247-013-2754-6

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  • DOI: https://doi.org/10.1007/s00247-013-2754-6

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