title: Epidural placement in a patient with undiagnosed acquired haemophilia from factor VIII inhibitor.
abstract: 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.
authors.affiliation: Department of Anaesthesia, Lyell McEwin Hospital, Adelaide, South Australia.
authors.forename: G A
authors.initials: GA
authors.lastname: Christie-Taylor
authors.forename: G L
authors.initials: GL
authors.lastname: McAuliffe
mesh_terms: 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
chemical_list: D005169:Factor VIII