Endoscopic diagnosis of intramural hematoma in the colon sigmoideum in a child with high titer inhibitory hemophilia A

Endoscopic diagnosis of intramural hematoma in the colon sigmoideum in a child with high titer inhibitory hemophilia A

Lower gastrointestinal bleeding is a rare condition in childhood pathology. The incidence of this disorder in the general population of Bulgarian children is unknown. We report a case of a 7-year-old child with diagnosed hemophilia A and high titer of factor VIII inhibitor; the patient was admitted...

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Bibliographic Details
Published in:Folia Medica Vol. 56; no. 2; pp. 126 - 128
Main Authors: Yankov, Ivan V, Spasova, Maria I, Andonov, Vladimir N, Cholakova, Efimia N, Yonkov, Alexander S
Format: Journal Article
Language:English
Published: Bulgaria MEDICAL UNIVERSITY- PLOVDIV 01-04-2014
Pensoft Publishers
Subjects:
Child
Colonoscopy
Diagnosis, Differential
emergency colonoscopy
Hematoma - diagnosis
Hematoma - etiology
Hematoma - therapy
hematoma of the sigmoid colon
Hemophilia A - complications
Humans
inhibitor hemophilia A
Male
rectorrhagia
Sigmoid Diseases - diagnosis
Sigmoid Diseases - etiology
Sigmoid Diseases - therapy
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Summary:Lower gastrointestinal bleeding is a rare condition in childhood pathology. The incidence of this disorder in the general population of Bulgarian children is unknown. We report a case of a 7-year-old child with diagnosed hemophilia A and high titer of factor VIII inhibitor; the patient was admitted into the Department of Pediatrics and Medical Genetics for rectorrhagia after falling onto his buttocks while playing. Colonoscopy showed submucosal hematoma 25 cm from the anocutaneous line occluding the intestinal lumen with a lesion of the overlying mucosa as long as 20 mm. If a patient presents with rectorrhagia, timely and carefully planned colonoscopy could identify the source of bleeding, determine the severity of bleeding and the size of hematoma, and assess the need for surgical intervention. The reported case supports the modern view that patients with inhibitor hemophilia should not be denied interventional procedure or surgical intervention for fear of uncontrolled bleeding.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ISSN:0204-8043
1314-2143
DOI:10.2478/folmed-2014-0018