Open AccessPersistent surgical wound bleeding: A rare condition related to acquired hemophilia A
Author(s) -
Chia-Wei Chang,
JiunTing Yeh,
ShangYu Wang,
Chun-Hsiang Ouyang,
ChienHung Liao,
I-Ming Kuo,
ChihHao Chen,
Kuo-Ching Yuan,
YungHeng Hsu
Publication year - 2013
Publication title -
formosan journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 8
eISSN - 2213-5413
pISSN - 1682-606X
DOI - 10.1016/j.fjs.2013.05.001
Subject(s) - medicine , surgery , fasciotomy , severe bleeding , clinical trial
SummaryAcquired hemophilia A (AHA) is a rare condition that predisposes affected patients to a bleeding tendency, even after a trivial physical insult. We present our experience with a 45-year-old male patient who was referred to our institute because of persistent bleeding from a left forearm surgical wound after fasciotomy. He was diagnosed as having AHA. Surgical treatment in combination with recombinant activated factor VII (rFVIIa) led to a satisfactory result. Clinical awareness and multidisciplinary professional connections are necessary in the treatment of AHA. Acquired hemophilia should be considered in the differential diagnosis of patients with uncontrolled bleeding episodes