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 journalArticle

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
JournalFormosan Journal of Surgery
Volume46
Issue number4
DOIs
Publication statusPublished - Aug 1 2013
Externally publishedYes

Fingerprint

Hemorrhage
Factor VIIa
Hemophilia A
Forearm
Differential Diagnosis
Therapeutics
Surgical Wound
Acquired Factor 8 deficiency
recombinant FVIIa
Fasciotomy

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., ... 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

Persistent surgical wound bleeding : A rare condition related to acquired hemophilia A. / Chang, Chia Wei; Yeh, Jiun Ting; Wang, Shang Yu; Ouyang, Chun Hsiang; Liao, Chien Hung; Kuo, I. Ming; Chen, Chih Hao; Yuan, Kuo Ching; Hsu, Yu Pao.

In: Formosan Journal of Surgery, Vol. 46, No. 4, 01.08.2013, p. 135-139.

Research output: Contribution to journalArticle

Chang, CW, Yeh, JT, Wang, SY, Ouyang, CH, Liao, CH, Kuo, IM, Chen, CH, Yuan, KC & Hsu, YP 2013, 'Persistent surgical wound bleeding: A rare condition related to acquired hemophilia A', Formosan Journal of Surgery, vol. 46, no. 4, pp. 135-139. https://doi.org/10.1016/j.fjs.2013.05.001
Chang, Chia Wei ; Yeh, Jiun Ting ; Wang, Shang Yu ; Ouyang, Chun Hsiang ; Liao, Chien Hung ; Kuo, I. Ming ; Chen, Chih Hao ; Yuan, Kuo Ching ; Hsu, Yu Pao. / Persistent surgical wound bleeding : A rare condition related to acquired hemophilia A. In: Formosan Journal of Surgery. 2013 ; Vol. 46, No. 4. pp. 135-139.
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