Delayed rupture of a jejunal subserosa hematoma following blunt abdominal trauma: A case report and review of literature

Figure 1 Contrast-enhanced computed tomography on admission. A: Non-contrast phase: A round-like hypodense lesion with well-defined margins and heterogeneous internal density, showing areas of slightly higher attenuation; B: Arterial phase: Wall enhancement is observed, while the interior of the lesion shows no enhancement, with an indistinct boundary between the lesion and the duodenum; C: Venous phase: Findings similar to those in the arterial phase.

Figure 2 Intraoperative findings. A: Large hematoma; B: Following evacuation of the hematoma, serosal rupture was observed; C: Serosal repair. White arrows indicate the serosal edge; black arrows indicate the jejunal muscular layer.

Figure 3  No intra-abdominal effusion or mass was found on computed tomography one month later.