[Compressive retropharyngeal hematoma in a hemophiliac patient].
BACKGROUND
The retropharyngeal hematoma is rare and usually due to trauma, anticoagulation therapy complication or ascending aortic dissection. This presentation is extremely rare in hemophiliac patients.


METHODS
A 23-year-old hemophiliac patient presented with a spontaneous onset large retropharyngeal hematoma extended to the floor of the mouth associated with dyspnea, dysphagia and dysphonia. The patient underwent adequate and successful medical treatment.


CONCLUSIONS
Hemophilia A is characterized by a deficit in factor VIII. Clinical symptoms are not specific and vary with the level of the intrinsic factor. Hematoma of the cervical region is a rare but potentially life-threatening event. The treatment requires transfusion of the specific factor and education of the patient and his relatives.
Benhammou
A
A
Service d'ORL et de chirurgie maxillofaciale, hôpital des spécialités, CHU de Rabat-Salé, Rabat, Maroc. aidabenhammou@gmail.com
Boulaadas
M
M
Boulaich
M
M
Benbouzid
M A
MA
Essakali
L
L
Kzadri
M
M
D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D006406:Hematoma / Q000209:etiology*; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D008297:Male; D009060:Mouth Floor / Q000473:pathology; D009333:Neck / Q000473:pathology; D010608:Pharyngeal Diseases / Q000209:etiology*; D014832:Voice Disorders / Q000209:etiology