Abstract | RATIONALE: PATIENT CONCERNS: DIAGNOSES: He received a computed tomography (CT) scan which revealed an enlarged appendix, thickened wall and appendiceal fecalith, and had received a conservative anti-bacterial treatment for his acute appendicitis but failed. He was diagnosed with hemophilia A and coagulation factor VII deficiency. INTERVENTIONS: OUTCOMES: The patient had an uneventful recovery. LESSONS: It is important to exclude intraabdominal or retroperitoneal hemorrhage in patients suffering from hemophilia and acute abdominal pain. Pre-operative evaluation of validity of the FVIII replacement therapy is another effective strategy to assess the safety and feasibility of applying an operation procedure. The two-incision laparoscopic appendectomy is an effective treatment for this kind of patients for its minimal trauma and fast recovery characteristics. Our report shows that laparoscopic appendectomy is feasible in a child suffering from hemophilia after adequate blood clotting factor replacement treatment.
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Authors | Jin Peng He, Jie Xiong Feng |
Journal | Medicine
(Medicine (Baltimore))
Vol. 96
Issue 41
Pg. e8197
(Oct 2017)
ISSN: 1536-5964 [Electronic] United States |
PMID | 29019885
(Publication Type: Case Reports, Journal Article)
|
Topics |
- Appendectomy
(methods)
- Appendicitis
(complications, diagnosis, surgery)
- Child
- Diagnosis, Differential
- Factor VII Deficiency
(complications)
- Hemophilia A
(complications, diagnosis, physiopathology)
- Hemorrhage
(diagnosis)
- Humans
- Laparoscopy
(methods)
- Male
- Perioperative Care
(methods)
- Severity of Illness Index
- Tomography, X-Ray Computed
(methods)
- Treatment Outcome
|