PMC6029490_01
Right perinephric and right paracolic gutter fat stranding surrounding the right iliopsoas muscle.
CRIHEM2018-1910854.001.jpg
PMC6029490_01_CRIHEM2018-1910854.001.jpg
fig1
CT abdomen (Figure 1) was performed to rule out intra-abdominal causes of acute anemia and showed right perinephric and right paracolic gutter fat stranding surrounding the right iliopsoas muscle which was asymmetrically enlarged without evidence of definite hyperdense intramuscular hematoma, but possible intramuscular hemorrhage or myositis.
Terminal ileum containing hematin (altered blood/coffee-ground-like material) without a clear source of bleeding.
CRIHEM2018-1910854.002.jpg
PMC6029490_01_CRIHEM2018-1910854.002.jpg
fig2
EGD did not yield any abnormal results, but colonoscopy revealed terminal ileum containing hematin (altered blood/coffee-ground-like material) without a clear source of bleeding (Figure 2).