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 › 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 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

Keywords

Acquired hemophilia
Compartment syndrome
Factor VII

ASJC Scopus subject areas

Surgery

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10.1016/j.fjs.2013.05.001

Cite this

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title = "Persistent surgical wound bleeding: A rare condition related to acquired hemophilia A",

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.",

keywords = "Acquired hemophilia, Compartment syndrome, Factor VII",

author = "Chang, {Chia Wei} and Yeh, {Jiun Ting} and Wang, {Shang Yu} and Ouyang, {Chun Hsiang} and Liao, {Chien Hung} and Kuo, {I. Ming} and Chen, {Chih Hao} and Yuan, {Kuo Ching} and Hsu, {Yu Pao}",

year = "2013",

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doi = "10.1016/j.fjs.2013.05.001",

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journal = "Formosan Journal of Surgery",

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TY - JOUR

T1 - Persistent surgical wound bleeding

T2 - A rare condition related to acquired hemophilia A

AU - Chang, Chia Wei

AU - Yeh, Jiun Ting

AU - Wang, Shang Yu

AU - Ouyang, Chun Hsiang

AU - Liao, Chien Hung

AU - Kuo, I. Ming

AU - Chen, Chih Hao

AU - Yuan, Kuo Ching

AU - Hsu, Yu Pao

PY - 2013/8/1

Y1 - 2013/8/1

N2 - 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.

AB - 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.

KW - Acquired hemophilia

KW - Compartment syndrome

KW - Factor VII

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JO - Formosan Journal of Surgery

JF - Formosan Journal of Surgery

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

Abstract

Keywords

ASJC Scopus subject areas

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