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

Haemophilia. 2001 May;7(3):331-4. doi: 10.1046/j.1365-2516.2001.00499.x.

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.

Publication types

  • Case Reports

MeSH terms

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

Substances

  • Factor VIII