title: Spinal epidural hematoma in a patient with hemophilia B presenting as acute abdomen.
abstract: Spontaneous spinal epidural hematoma (SSEH) is a rare complication in patients of haemophilia. We report the case of a 9-year-old boy with severe haemophilia B who presented with acute abdomen of 5 days duration. Acute onset of neck/back pain,walking impairment and urinary retention has usually been described as symptom complex in SSEH. The hematoma was identified by magnetic resonance imaging of the spinal column. Our case calls attention to recognition of abdominal pain (with no other localizing features) as initial symptom of SSEH and prompt evaluation and management before more overt symptoms of spinal cord compression becomes evident.
authors.affiliation: Division of Pediatric Hematology, Department of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children's Hospital, New Delhi, 110001 India.
authors.forename: Nilay
authors.initials: N
authors.lastname: Nirupam
authors.affiliation: Division of Pediatric Hematology, Department of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children's Hospital, New Delhi, 110001 India.
authors.forename: Harish
authors.initials: H
authors.lastname: Pemde
authors.affiliation: Division of Pediatric Hematology, Department of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children's Hospital, New Delhi, 110001 India.
authors.forename: Jagdish
authors.initials: J
authors.lastname: Chandra
keywords: Acute abdomen; Epidural hematoma; Hemophilia B