Clin Pediatr Hematol Oncol.  2017 Apr;24(1):64-68. 10.15264/cpho.2017.24.1.64.

Successful Non-operative Management of Intra-abdominal Hemorrhage in Two Patients with Hemophilia A

• Kim MJ
• Lee EH
• Yoon HS

• KMID: 2379352
• DOI: http://doi.org/10.15264/cpho.2017.24.1.64

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.

Keyword

Intra-abdominal hemorrhage; Non-operative management; Hemophilia

MeSH Terms

Blood Coagulation Factors
Child
Hemophilia A*
Hemorrhage*
Humans
Mortality
Blood Coagulation Factors