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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

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