title: Obstructive Ileus caused by blood clot after emergency total gastrectomy in a patient with hemophilia A: report of a case.
abstract: We report herein the extremely unusual case of a patient with hemophilia A who developed a hematoma ileus soon after undergoing an emergency total gastrectomy. Postoperatively, the patient was found to have an obstruction in the small intestine that was difficult to differentiate from intussusception. Reoperation revealed the cause of the obstruction to be a large blood clot. This case report serves to demonstrate that careful hemostasis and observation during surgery is essential in patients with hemophilia.
authors.affiliation: Department of Surgery 2, Fukushima Medical College, Fukushima City, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Onda
authors.forename: K
authors.initials: K
authors.lastname: Urazumi
authors.forename: R
authors.initials: R
authors.lastname: Abe
authors.forename: K
authors.initials: K
authors.lastname: Matsuo
mesh_terms: D000714:Anastomosis, Surgical; D003937:Diagnosis, Differential; D005743:Gastrectomy / Q000379:methods; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000601:surgery; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006467:Hemophilia A / Q000150:complications* / Q000601:surgery* / Q000628:therapy; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D017792:Surgical Stapling / Q000009:adverse effects