Persistent surgical wound bleeding: A rare condition related to acquired hemophilia A

Chia Wei Chang, Jiun Ting Yeh, Shang Yu Wang*, Chun Hsiang Ouyang, Chien Hung Liao, I. Ming Kuo, Chih Hao Chen, Kuo Ching Yuan, Yu Pao Hsu

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

Abstract

Acquired 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.

Original languageEnglish
Pages (from-to)135-139
Number of pages5
JournalZhonghua Minguo wai ke yi xue hui za zhi
Volume46
Issue number4
DOIs
StatePublished - 08 2013

Keywords

  • Acquired hemophilia
  • Compartment syndrome
  • Factor VII

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