Case Report
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World J Gastrointest Surg. Dec 27, 2010; 2(12): 402-404
Published online Dec 27, 2010. doi: 10.4240/wjgs.v2.i12.402
Small bowel obstruction presenting with a rectal haematoma
Omar A Mownah, Zaed Z Hamady, Mark J Rogers, Syed G Shah, Deven H Vani
Omar A Mownah, Zaed Z Hamady, Mark J Rogers, Department of Colorectal Surgery, Pinderfields General Hospital, Wakefield, West Yorkshire, WF1 4DG, United Kingdom
Syed G Shah, Deven H Vani, Department of Gastroenterology, Pinderfields General Hospital, Wakefield, West Yorkshire, WF1 4DG, United Kingdom
Author contributions: Mownah OA wrote and researched the paper; Hamady ZZ also researched the topic; Rogers MJ, Shah SG and Vani DH advised this paper.
Correspondence to: Zaed Z Hamady, Surgical Registrar, Department of Colorectal Surgery, Pinderfields General Hospital, Aberford Road, Wakefield, West Yorkshire, WF1 4DG, United Kingdom. zaed.hamady@doctors.org.uk
Telephone: +44-1924-512000 Fax: +44-1924-512050
Received: May 9, 2010
Revised: September 29, 2010
Accepted: October 6, 2010
Published online: December 27, 2010
Abstract

We report on a case of an 85-year old man with an unusual presentation of small bowel obstruction. A palpable mass on digital rectal examination was subsequently visualised endoscopically with the appearance of a haematoma. The presence of a rectal mass as a presenting sign for small bowel obstruction is highly unusual and unreported in the literature.

Keywords: Small bowel obstruction, Rectal mass, Haematoma