Patient’s recovery progressed uneventfully. A right hemicolectomy along with primary ileocolonic anastomosis was performed. Hematoma of the adjacent mesocolon expanding to the root of mesenteric vessels was also noted. An exploratory laparotomy was performed, hemoperitomeum was evacuated, and a subserosal hematoma of the cecum and ascending colon with areas of totally disrupted serosal wall was found. A computed tomography scan (CT) that followed showed a hematoma of the mesocolon of the ascending colon with active extravasation of intravenous contrast material. After initial resuscitation, focused assessment with sonography for trauma examination (FAST) was performed revealing a subhepatic mass, suspicious for intraperitoneal hematoma. This is a case of a 31-year-old man, admitted to the emergency department after being the restrained driver, involved in a car accident. Clinical assessment alone in patients with suspected intestinal or mesenteric injury after blunt trauma is associated with unacceptable diagnostic delays. Isolated colon injury is a rarely encountered condition. The most common site of injury to the intestine in blunt abdominal trauma (BAT) is the small bowel followed by colon, with mesenteric injuries occurring three times more commonly than bowel injuries. The reported incidence of hollow viscus injuries (HVI) in blunt trauma patients is approximately 1 %.
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