Blunt rectal trauma causing intramural rectal hematoma: report of a case.

An unusual case is reported in which intramural rectal hematoma resulted from rectal insertion of a foreign body. The patient was admitted to the hospital for observation and was catheterized because of urinary retention. The patient was discharged from the hospital after four days; for the last two days of this hospital stay, the patient received a liquid diet. We conclude that for some cases of uncomplicated intramural rectal hematoma, conservative management is safe and preferable to surgically draining the hematoma, which would increase the risk of infection.