A case of acute upper and lower airway obstruction due to retropharyngeal haemorrhage secondary to acquired haemophilia A.
We report the first known case of acute upper and lower airway obstruction due to retropharyngeal haemorrhage secondary to acquired haemophilia A. The patient required tracheal intubation and ventilation followed by surgical tracheostomy, prior to transfer to the intensive care unit for management of her coagulopathy with recombinant clotting factor products under the care of the haematologists.
Harper
M
M
Department of Anaesthesia and Intensive Care, Torbay Hospital, Torquay, Devon TQ2 7AA, UK. mwharper@doctors.org.uk
Obolensky
L
L
Roberts
P
P
Mercer
M
M
D000208:Acute Disease; D000368:Aged; D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001779:Blood Coagulation Factors / Q000627:therapeutic use; D015942:Factor VIIa / Q000627:therapeutic use; D005260:Female; D006406:Hematoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006467:Hemophilia A / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D010608:Pharyngeal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed
D001779:Blood Coagulation Factors; C065655:anti-inhibitor coagulant complex; D015942:Factor VIIa