Hemorrhagic episodes in hemophiliacs simulating abdominal surgical emergencies.
Hemophiliacs are subjected to develop episodes of spontaneous bleeding at different sites of the body, primarily the knees. On occasions, such episodes affect the abdomen. The picture engendered in such cases may mimic that of an abdominal emergency requiring surgical intervention. Such ill advised and unwarranted intervention may end with the patient's death. With the proper employment of radiology, the correct diagnosis may be reached and consequently, conservative treatment, in which factor VIII plays the major role, instituted. Here, we describe the clinical course of 2 patients with hemophilia A who suffered bleeding in the abdomen and were treated conservatively with a successful outcome.
Rabie
Mohammad E
ME
Department of Surgery, College of Medicine and Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia. ezzedien@hotmail.com
Al-Tayeb
Abdul-Rahman E
AR
Zafer
Mubarak H
MH
Sheikha
Anwar K
AK
D000006:Abdomen, Acute / Q000175:diagnosis* / Q000601:surgery; D000293:Adolescent; D000328:Adult; D001803:Blood Transfusion / Q000379:methods; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004630:Emergencies; D005169:Factor VIII / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000628:therapy; D006467:Hemophilia A / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D005169:Factor VIII