Ruptured intramural intestinal hematoma in an adolescent patient with severe hemophilia A.
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.
Janic
Dragana
D
Department of Hematology/Oncology, University Children's Hospital, Tirsova 10, 11000, Belgrade, Serbia.
Smoljanic
Zeljko
Z
Department of Radiology, University Children's Hospital, Belgrade, Serbia.
Krstovski
Nada
N
Department of Hematology/Oncology, University Children's Hospital, Tirsova 10, 11000, Belgrade, Serbia.
Dokmanovic
Lidija
L
Department of Hematology/Oncology, University Children's Hospital, Tirsova 10, 11000, Belgrade, Serbia.
Rodic
Predrag
P
Department of Hematology/Oncology, University Children's Hospital, Tirsova 10, 11000, Belgrade, Serbia. predrag.rodic@udk.bg.ac.yu.
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