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Case Reports
. 2021 Jul-Sep;47(3):462-465.
doi: 10.12865/CHSJ.47.03.20. Epub 2021 Sep 30.

Conservative Management of a Jejuno-Jejunal Intussusception in a Patient with Severe Haemophilia A

Fares Salma  1 , Wakrim Soukaina  1
Affiliations
Case Reports

Conservative Management of a Jejuno-Jejunal Intussusception in a Patient with Severe Haemophilia A

Fares Salma et al. Curr Health Sci J. 2021 Jul-Sep.

Abstract

A 29-year-old man with severe haemophilia A developed right lower quadrant pain. He was diagnosed with jejuno-jejunal intussusception, and he was managed conservatively with an infusion of plasmatic factor VIII, resulting in resolution of symptoms, and reduction of the jejuno-jejunal intussusception, and complete regression of hematoma. This case highlights a rare clinical manifestation in patients with haemophilia, and also indicates the effectiveness of factor VIII instead of exploratory surgery for intramural hematoma.

Keywords: Factor VIII; Haemophilia; Intussusception; Jejunum.

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Conflict of interest statement

None to declare.

Figures

Figure 1
Figure 1
CT scan of the abdomen and pelvis without iodine contrast media injection; A: transverse section; B: coronal section: intramural thickening of jejunum related with intramural hematoma of jejunum, with concentric rings, consistent with the appearance of jejuno-jejunal intussusceptions
Figure 2
Figure 2
CT scan of the abdomen and pelvis with iodine contrast media injection; A: transverse section; B: coronal section: intramural thickening takes iodine contrast media, homogeneously, in favor of no sign of intestinal wall necrosis
See this image and copyright information in PMC

References

    1. Mannucci PM, Tuddenham EGD. The hemophiliasc-from royal genes to gene therapy. N Engl J Med. 2001;344(23):1773–1779. - PubMed
    1. Cahill MR, Colvin BT. Hemophilia. Postgrad Med J. 1997;73(858):201–206. - PMC - PubMed
    1. Guthrie Jr, Sacra JC. Emergency care of the hemophiliac patient. Ann Emerg Med. 1980;9(9):476–479. - PubMed
    1. Mittal R, Spero JA, Lewis JH, Taylor F, Ragni MV, Bontempo FA, Van Thiel DH. Patterns of gastrointestinal hemorrhage in hemophilia. Gastroenterology. 1985;88(2):515–522. - PubMed
    1. Ramadan KMA, Lowry JP, Wilkinson A, McNulty O, McMullin MF, Jones FGC. Acute intestinal obstruction due to intramural haemorrhage in small intestine in a patient with severe haemophilia A and inhibitor. Eur J Haematol. 2005;75(2):164–166. - PubMed

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