Blunt abdominal trauma with delayed rupture of splenic haematoma in a haemophiliac patient.
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.
Samaiya
A
A
Department of Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Gupta
S
S
Chumber
S
S
Kashyap
R
R
Dewanda
N K
NK
Vashisht
S
S
Choudhry
V P
VP
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*
D005169:Factor VIII