Spontaneous perforation of an intramural rectal hematoma: Report of a case

Figure 1 Pre-operative photograph of the perineum (knee-chest position) revealing widespread perianal ecchymosis (marked with black arrows).

Figure 2 Intra-operative photograph of a large intramural hematoma arising beneath the rectosigmoid junction.

Figure 3 Extensive oozing of blood in the muscular layer of the resected rectal and fibrinoid necrosis within the vascular wall (hematoxylin and eosion stain, × 20).