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World J Gastrointest Surg. May 27, 2026; 18(5): 117395
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.117395
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.117395
Delayed rupture of a jejunal subserosa hematoma following blunt abdominal trauma: A case report and review of literature
Hong-Jun Huang, Min-Jie Lin, Department of General Surgery, Central Hospital Affiliated to Shaoxing University, Shaoxing Central Hospital, Shaoxing 312030, Zhejiang Province, China
Jiang-Tao Li, Department of Hepatic-Biliary-Pancreatic Surgery, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
Author contributions: Huang HJ and Lin MJ performed surgical procedures; Huang HJ drafted the initial manuscript; Li JT contributed to supervision, writing, and reviewing the manuscript. The final draft was read and approved by all authors.
AI contribution statement: AI-enabled language tools, such as DeepL, ChatGPT were used for polishing and translation. All scientific content, analyses, interpretations, and conclusions were written by the authors. AI tools were not used to generate original manuscript text, only used occasionally to assist with translation. AI-enabled languageassistance tools were used exclusively for English language polishing and minor translation to improve clarity and grammar. They were not used for data analysis, interpretation, or substantive writing. This is solely a case report; the literature review and summary were completed entirely by the authors. The images are photographs taken by the authors during surgery and the patients’ computed tomography scans; none were AI-generated.
Supported by Shaoxing City Basic Public Welfare Plan Project, No. 2024A14030.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Hong-Jun Huang, MD, Associate Chief Physician, Department of General Surgery, Central Hospital Affiliated to Shaoxing University, Shaoxing Central Hospital, No. 1 Huayu Road, Keqiao District, Shaoxing 312030, Zhejiang Province, China. zxyyhhj@usx.edu.cn
Received: December 10, 2025
Revised: January 28, 2026
Accepted: March 2, 2026
Published online: May 27, 2026
Processing time: 173 Days and 0 Hours
Revised: January 28, 2026
Accepted: March 2, 2026
Published online: May 27, 2026
Processing time: 173 Days and 0 Hours
Core Tip
Core Tip: This exceedingly rare case of traumatic proximal jejunal subserosal hematoma without anticoagulation history demonstrates delayed rupture on day 5 after blunt abdominal trauma, leading to intraperitoneal hemorrhage despite initial conservative management. Initial computed tomography misdiagnosed it as a retroperitoneal cystic mass near the ligament of Treitz. Clinicians should maintain high suspicion in blunt trauma, perform early contrast-enhanced computed tomography focusing on Treitz fixation, conduct serial monitoring, and proceed to urgent laparotomy upon any sign of expansion or bleeding to prevent life-threatening complications.