title: Blunt abdominal trauma with delayed rupture of splenic haematoma in a haemophiliac patient.
abstract: A 13-year-old haemophilia A patient presented with pain in the abdomen, 4 days after a blunt abdominal trauma. The computed tomography scan of the abdomen showed a large splenic haematoma. The patient was initially managed with factor VIII replacement therapy, but 4 weeks later he had a delayed rupture of the splenic haematoma with haemoperitoneum and shock. An elective splenectomy under factor VIII therapy was successfully performed.
authors.affiliation: Department of Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
authors.forename: A
authors.initials: A
authors.lastname: Samaiya
authors.forename: S
authors.initials: S
authors.lastname: Gupta
authors.forename: S
authors.initials: S
authors.lastname: Chumber
authors.forename: R
authors.initials: R
authors.lastname: Kashyap
authors.forename: N K
authors.initials: NK
authors.lastname: Dewanda
authors.forename: S
authors.initials: S
authors.lastname: Vashisht
authors.forename: V P
authors.initials: VP
authors.lastname: Choudhry
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D000293:Adolescent; D016063:Blood Loss, Surgical / Q000517:prevention & control; D005169:Factor VIII / Q000008:administration & dosage; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006467:Hemophilia A / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D013156:Splenectomy; D013161:Splenic Rupture / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*
chemical_list: D005169:Factor VIII