title: Ruptured intramural intestinal hematoma in an adolescent patient with severe hemophilia A.
abstract: We report on a 17-year-old patient with severe hemophilia A without inhibitors who developed abdominal bleeding after an episode of severe cough. Abdominal ultrasound showed intramural intestinal hematoma as well as large amount of peritoneal fluid appearing as blood and right hematocele. Abdominal CT revealed markedly thickened intestinal wall in sigmoidal region. Patient was managed with replacement therapy as well as peritoneal drainage with favorable outcome. This is the first report on a hematoperitoneum in a hemophiliac due to ruptured intramural sigmoidal hematoma.
authors.affiliation: Department of Hematology/Oncology, University Children's Hospital, Tirsova 10, 11000, Belgrade, Serbia.
authors.forename: Dragana
authors.initials: D
authors.lastname: Janic
authors.affiliation: Department of Radiology, University Children's Hospital, Belgrade, Serbia.
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Smoljanic
authors.affiliation: Department of Hematology/Oncology, University Children's Hospital, Tirsova 10, 11000, Belgrade, Serbia.
authors.forename: Nada
authors.initials: N
authors.lastname: Krstovski
authors.affiliation: Department of Hematology/Oncology, University Children's Hospital, Tirsova 10, 11000, Belgrade, Serbia.
authors.forename: Lidija
authors.initials: L
authors.lastname: Dokmanovic
authors.affiliation: Department of Hematology/Oncology, University Children's Hospital, Tirsova 10, 11000, Belgrade, Serbia. predrag.rodic@udk.bg.ac.yu.
authors.forename: Predrag
authors.initials: P
authors.lastname: Rodic
mesh_terms: D000293:Adolescent; D003952:Diagnostic Imaging; D006406:Hematoma / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D006467:Hemophilia A / Q000473:pathology*; D006801:Humans; D007422:Intestines / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D011859:Radiography; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy