Conservative management resulting in complete resolution of a double intussusception in an adult haemophiliac.
Acute abdominal pain in haemophiliacs should be approached as haemorrhage until proven otherwise. With advancements in factor repletion and coagulopathic management a conservative approach should be considered. We describe a case of double colo-colonic intussusception lead by an intramural haematoma occurring spontaneously and resolving with conservative management in a young haemophiliac. This demonstrates that intussusception in these cases may be transient, and does not require surgical intervention.
Howard
J M
JM
Department of Colorectal Surgery, St James's Hospital, Dublin, Ireland.
Hanly
A M
AM
Stephens
R B
RB
D000328:Adult; D002429:Cecal Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003937:Diagnosis, Differential; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed