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KMID : 0387820170240010064
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Clinical Pediatric Hematology-Oncology
2017 Volume.24 No. 1 p.64 ~ p.68
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Successful Non-operative Management of Intra-abdominal Hemorrhage in Two Patients with Hemophilia A
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Kim Mi-Jin
Lee Eun-Hye
Yoon Hoi-Soo
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Abstract
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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.
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KEYWORD
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Intra-abdominal hemorrhage, Non-operative management, Hemophilia
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