Epidural placement in a patient with undiagnosed acquired haemophilia from factor VIII inhibitor.
We report a case of acquired haemophilia that presented as continuous bleeding from an epidural insertion site in a previously asymptomatic parturient. Peripartum anaesthetic management of this rare medical emergency has not previously been reported and the difficulties associated with its treatment are discussed.
Christie-Taylor
G A
GA
Department of Anaesthesia, Lyell McEwin Hospital, Adelaide, South Australia.
McAuliffe
G L
GL
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016362:Analgesia, Obstetrical / Q000009:adverse effects*; D005169:Factor VIII / Q000008:administration & dosage / Q000037:antagonists & inhibitors*; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D010314:Partial Thromboplastin Time; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000097:blood / Q000209:etiology
D005169:Factor VIII