Extensive spontaneous intramural hematoma of rectum and sigmoid colon in a patient undergoing anticoagulant therapy: A case report

This report highlights a case of extensive, spontaneous intramural hematoma of the rectum and sigmoid colon in a patient receiving anticoagulant therapy. Although rare, these hematomas should be considered in the differential diagnosis of abdominal pain in anticoagulated patients. A timely diagnosis based on clinical evaluation, thorough physical examination, and imaging studies is crucial for appropriate management. In this case, early diagnosis facilitated surgical intervention while preserving intestinal continuity.