PMC6556811_01
(a) CT scan revealing marked thickening of right colon. (b) Pleural effusion with pulmonary atelectasia.
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Because of a palpable mass in the right quadrants of the abdomen, a CT scan was performed (Fig. 1a). Concomitant marked thickening of the anterior para-renal fascia with presence of retroperitoneal effusion and peritoneal effusion were also detected (Fig. 1b).
Surgical specimen showing massive intramural hematoma of the right colon.
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The right-colon was involved by a massive intramural hematoma (Fig. 2), which dissociated all the bowel layers from the serosa to the mucosa with initial evidence of perforation.