Successful Non-operative Management of Intra-abdominal Hemorrhage in Two Patients with Hemophilia A
10.15264/cpho.2017.24.1.64
- Author:
Mi Jin KIM
1
;
Eun Hye LEE
;
Hoi Soo YOON
Author Information
1. Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea. snoopyi@hanmail.net
- Publication Type:Case Report
- Keywords:
Intra-abdominal hemorrhage;
Non-operative management;
Hemophilia
- MeSH:
Blood Coagulation Factors;
Child;
Hemophilia A;
Hemorrhage;
Humans;
Mortality
- From:Clinical Pediatric Hematology-Oncology
2017;24(1):64-68
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spontaneous intra-abdominal hemorrhages are uncommon in hemophilic patients. They can cause complications in patients with severe hemophilia, and are associated with a high mortality rate. To date, there is no guideline for the management of intra-abdominal hemorrhage in patients with hemophilia. Management of intra-abdominal hemorrhage ranges from conservative treatment to emergent embolization or surgery. We describe two children with hemophilia A, who were successfully treated non-operatively by administering coagulation factor concentrates and embolization, and were later discharged from the hospital. We emphasize the role of an active approach in the evaluation and management of intra-abdominal hemorrhage without any surgical intervention.
