Ruptured intramural intestinal hematoma in an adolescent patient with severe hemophilia A |
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Authors: | Dragana Janic Zeljko Smoljanic Nada Krstovski Lidija Dokmanovic Predrag Rodic |
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Institution: | (1) Department of Hematology/Oncology, University Children’s Hospital, Tirsova 10, 11000 Belgrade, Serbia;(2) Department of Radiology, University Children’s Hospital, Belgrade, Serbia |
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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. |
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Keywords: | Hemophilia A Intramural intestinal hematoma Rupture Hematoperitoneum Hematocoele |
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