Abstract
We report herein the extremely unusual case of a patient with hemophilia A who developed a hematoma ileus soon after undergoing an emergency total gastrectomy. Postoperatively, the patient was found to have an obstruction in the small intestine that was difficult to differentiate from intussusception. Reoperation revealed the cause of the obstruction to be a large blood clot. This case report serves to demonstrate that careful hemostasis and observation during surgery is essential in patients with hemophilia.
MeSH terms
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Anastomosis, Surgical
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Diagnosis, Differential
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Gastrectomy* / methods
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Gastrointestinal Hemorrhage / complications
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Gastrointestinal Hemorrhage / surgery
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Hematoma / complications*
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Hematoma / diagnosis
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Hematoma / surgery
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Hemophilia A / complications*
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Hemophilia A / surgery*
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Hemophilia A / therapy
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Humans
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Intestinal Obstruction / diagnosis
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Intestinal Obstruction / etiology*
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Intestinal Obstruction / surgery
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Male
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Middle Aged
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Peptic Ulcer / complications
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Postoperative Complications* / diagnosis
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Postoperative Complications* / surgery
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Surgical Stapling / adverse effects