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

doi:10.1016/j.fjs.2013.05.001

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

Research output: Contribution to journal › Article

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 language	English
Pages (from-to)	135-139
Number of pages	5
Journal	Formosan Journal of Surgery
Volume	46
Issue number	4
DOIs	https://doi.org/10.1016/j.fjs.2013.05.001
Publication status	Published - Aug 1 2013
Externally published	Yes

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Keywords

Acquired hemophilia
Compartment syndrome
Factor VII

ASJC Scopus subject areas

Surgery

Cite this

Chang, C. W., Yeh, J. T., Wang, S. Y., Ouyang, C. H., Liao, C. H., Kuo, I. M., Chen, C. H., Yuan, K. C., & Hsu, Y. P. (2013). Persistent surgical wound bleeding: A rare condition related to acquired hemophilia A. Formosan Journal of Surgery, 46(4), 135-139. https://doi.org/10.1016/j.fjs.2013.05.001

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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.",

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10.1016/j.fjs.2013.05.001