Case Report
Volume 5 Issue 8 - 2018
Acute Intestinal Obstruction due to Intramural Hematoma of Sigmoid Colon in the Five-Years Old Boy with Severe Haemophilia A
Slavkovic Andjelka1,2, Zivanovic Dragoljub1,2, Djordjevic Ivona1,2*, Budic Ivana2,3, Kvesic Ante4 and Slavkovic Milan5
1Clinic for Pediatric Surgery and Orthopedics, Clinical Center Nis, Serbia
2Faculty of Medicine, University of Nis, Serbia
3Center for Anesthesiology and Reanimatology, Clinical Center Nis, Serbia
4University Hospital, Mostar, Bosnia and Herzegovina
5University Childrens’ Hospital, Belgrade, Serbia
*Corresponding Author:Djordjevic Ivona, Clinic for Pediatric Surgery and Orthopedics, Clinical Center Nis, Serbia.
Received: June 24, 2018; Published: July 10, 2018
Citation: Djordjevic Ivona., et al. “Acute Intestinal Obstruction due to Intramural Hematoma of Sigmoid Colon in the Five-Years Old Boy with Severe Haemophilia A”. EC Gastroenterology and Digestive System 5.8 (2018): 578-581.
Spontaneous intramural hematoma of sigmoid colon is rare clinical condition, presenting usually as bowel obstruction.
5 year old boy, was admitted due to bloody vomiting, severe rectal bleeding, abdominal distension significant abdominal tenderness and anemia. Due to deterioration and hemodynamic instability patient was operated revealing threatening rupture and 10 cm length bloody intramural mass. Colostomy was opened and sigmoid resection according to Hartmann procedure. Postoperative course was followed with acute massive bleeding from wound and stoma site. Additional blood tests revealed severe hemophilia A, with factor VIII level of 0.60%. Substitution therapy of factor VIII started. Histopathologic examination of the specimen revealed an intraluminal submucosal hematoma with no features of malignancy. Stoma closure was performed six months later with preoperative correction of factor VIII level up to 100%.
Emergency Hartman procedures can be performed safely in hemophiliac patients with spontaneous intramural hematoma of the sigmoid colon complicated with acute obstruction.
Keywords: Haemophilia A; Pseudotumor; Intestinal Obstruction
Copyright: © 2018 Djordjevic Ivona., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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