Spontaneous Intra-abdominal Hemorrhage in a Hemophilia A Patient Masquerading as Intra-abdominal Pseudotumor

Divij Jayant; Yashwant Sakaray; Uttam Thakur; Lileshwar Kaman; Arihant Jain

doi:10.1055/a-1384-3696

Hämostaseologie, Table of Contents

Hamostaseologie 2022; 42(03): 198-200
DOI: 10.1055/a-1384-3696

Case Report

Spontaneous Intra-abdominal Hemorrhage in a Hemophilia A Patient Masquerading as Intra-abdominal Pseudotumor

Divij Jayant

¹Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

,

Yashwant Sakaray

¹Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

,

Uttam Thakur

¹Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

,

Lileshwar Kaman

¹Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

,

Arihant Jain

²Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India

› Author Affiliations

Abstract

Spontaneous intra-abdominal hemorrhage is very rare in hemophilia A patients. High index of suspicion is necessary for successful management. Surgical intervention may be required in cases of diagnostic uncertainty and for adequate hemostasis. Here we report a case of spontaneous hemorrhage in the peritoneal cavity in hemophilia A patient, who was managed with surgery and factor VIII supplementation. Patient did well in the postoperative periods.

Keywords

factor VIII - hemophilia A/B - transfusion medicine - surgery

Full Text

References

References
1 van der Bom JG, ter Avest P, Van den Berg HM, Psaty BM, Weiss NS. Assessment of incidence of inhibitors in patients with haemophilia. Haemophilia 2009; 15 (03) 707-711
2 López-Gómez J, Contreras JS, Figueroa-Ruiz M. et al. Management of the hemophilic pseudotumor of the abdomen: a rare pathological entity. Int J Surg Case Rep 2014; 5 (11) 789-792
3 Reilly EF, Blansfield JA, Zebley DM. Spontaneous colonic mesenteric hemorrhage: report of an unusual case of abdominal apoplexy. Dis Colon Rectum 2005; 48 (07) 1484-1486