Posterior mediastinal hematoma – a rare case following a fall from standing height: a case report

<p>Abstract</p> <p>Introduction</p> <p>We present a previously unreported complication of a fall from standing height.</p> <p>Case presentation</p> <p>A 76-year-old woman sustained blunt chest trauma resulting from a fall from standing height. She was diagnosed with a mediastinal hematoma, and did well with supportive care. Follow up CT angiograms on days 2 and 4 of hospital stay revealed a stable hematoma and she did not require any intervention.</p> <p>Conclusion</p> <p>Mediastinal hematoma has been reported secondary to trauma, coagulation abnormalities and hematologic malignancies, but it not been reported secondary to a fall from standing height. Factors predisposing to a hematoma in this case were aspirin therapy and a modest elevation of INR secondary to chronic hepatitis C.</p

Jejunal Perforation following Screening Colonoscopy

Colonoscopy is rarely associated with complications such as colonic perforation. Perforation of the small bowel is extremely rare, especially if the procedure is done without therapeutic interventions. Several factors are associated with this entity. Perforation of the ileum has been reported, but proximal jejunal perforation secondary to rupture of jejunal diverticulum during colonoscopy has not been reported. We present the case of an 88-year-old patient who developed abdominal pain after undergoing colonoscopy without any additional interventions. Urgent exploration revealed perforation of the proximal jejunum secondary to rupture of a jejunal diverticulum. No therapy or biopsies were undertaken during the colonoscopy, which are known predisposing factors