Management of Colonic Intramural Hematoma Complicated by Intestinal Obstruction in a Patient With Hemophilia: A Case Report and Literature Review

Colonic intramural hematoma is an exceptional complication of hemophilia. We report the case of an 18-year-old adolescent with severe hemophilia A who presented with a large colonic intramural hematoma complicated by intestinal obstruction following minor abdominal trauma. Conservative management, combining factor VIII replacement therapy, initial resuscitation, and bowel rest, resulted in a favorable outcome, with complete resolution of the hematoma and no need for surgical intervention. This case highlights the effectiveness of early medical management in this rare clinical situation.