Blunt abdominal trauma with delayed rupture of splenic haematoma in a haemophiliac patient.

Abstract

A 13-year-old haemophilia A patient presented with pain in the abdomen, 4 days after a blunt abdominal trauma. The computed tomography scan of the abdomen showed a large splenic haematoma. The patient was initially managed with factor VIII replacement therapy, but 4 weeks later he had a delayed rupture of the splenic haematoma with haemoperitoneum and shock. An elective splenectomy under factor VIII therapy was successfully performed.

• Authors: A Samaiya, S Gupta, S Chumber, R Kashyap, N K Dewanda, S Vashisht, V P Choudhry
• Journal: Haemophilia : the official journal of the World Federation of Hemophilia (Haemophilia) Vol. 7 Issue 3 Pg. 331-4 (May 2001) ISSN: 1351-8216 [Print] England
• PMID: 11380639 (Publication Type: Case Reports, Journal Article)

Chemical References

• Factor VIII

Topics

• Abdominal Injuries (complications, diagnostic imaging, surgery)
• Adolescent
• Blood Loss, Surgical (prevention & control)
• Factor VIII (administration & dosage)
• Hematoma (diagnostic imaging, etiology, surgery)
• Hemophilia A (complications, drug therapy, surgery)
• Humans
• Male
• Radiography
• Splenectomy
• Splenic Rupture (drug therapy, etiology, surgery)