Exertional compartment syndrome in covert mild hemophilia. A case report.
A 37-year-old white male experienced unexpected postoperative bleeding after fasciotomy and decompression for left pronator and compartment syndromes of the forearm. He was subsequently diagnosed with a mild form of hemophilia A. One year later, surgery was required for right pronator and compartment syndromes. Pre- and postoperative cryoprecipitate infusions controlled bleeding following the second operation until the patient discontinued his infusions, resulting in a wound hematoma. Covert mild hemophilia is implicated in the pathogenesis of his compartment syndromes.
Tountas
C P
CP
University of Minnesota Medical School.
Ferris
F O
FO
Cobb
S W
SW
D000328:Adult; D003161:Compartment Syndromes / Q000097:blood / Q000601:surgery*; D005169:Factor VIII / Q000378:metabolism; D005542:Forearm / Q000294:innervation / Q000601:surgery*; D006467:Hemophilia A / Q000097:blood / Q000150:complications*; D006470:Hemorrhage / Q000097:blood / Q000601:surgery*; D006801:Humans; D008297:Male; D009408:Nerve Compression Syndromes / Q000097:blood / Q000601:surgery*; D010314:Partial Thromboplastin Time; D005082:Physical Exertion / Q000502:physiology*; D011183:Postoperative Complications / Q000097:blood / Q000601:surgery*; D012086:Reoperation
D005169:Factor VIII