Cargando…
Delayed Presentation of Splenic Rupture After Endoscopy in a Patient With Hemophilia A: Case Report and Review of the Literature
An 88-year-old female presented with dyspnea on exertion and severe anemia. Colonoscopy was unremarkable and the patient was transfused with packed red blood cells prior to discharge. The patient returned 2 weeks later with severe abdominal pain, hypotension, and anemia. Computed tomography revealed...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American College of Gastroenterology
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435321/ https://www.ncbi.nlm.nih.gov/pubmed/26157867 http://dx.doi.org/10.14309/crj.2014.43 |
_version_ | 1782371899414675456 |
---|---|
author | Mazulis, Andrew Lakha, Asif Qazi, Baseer Shapiro, Alan |
author_facet | Mazulis, Andrew Lakha, Asif Qazi, Baseer Shapiro, Alan |
author_sort | Mazulis, Andrew |
collection | PubMed |
description | An 88-year-old female presented with dyspnea on exertion and severe anemia. Colonoscopy was unremarkable and the patient was transfused with packed red blood cells prior to discharge. The patient returned 2 weeks later with severe abdominal pain, hypotension, and anemia. Computed tomography revealed splenic hematoma and hemoperitoneum. She bled from the surgical sites during emergent splenectomy and work-up revealed hemophilia A. We present, to our knowledge, a case of the longest reported delay in presentation of post-colonoscopy splenic rupture and the first in a patient with hemophilia A. |
format | Online Article Text |
id | pubmed-4435321 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | American College of Gastroenterology |
record_format | MEDLINE/PubMed |
spelling | pubmed-44353212015-07-08 Delayed Presentation of Splenic Rupture After Endoscopy in a Patient With Hemophilia A: Case Report and Review of the Literature Mazulis, Andrew Lakha, Asif Qazi, Baseer Shapiro, Alan ACG Case Rep J Case Report An 88-year-old female presented with dyspnea on exertion and severe anemia. Colonoscopy was unremarkable and the patient was transfused with packed red blood cells prior to discharge. The patient returned 2 weeks later with severe abdominal pain, hypotension, and anemia. Computed tomography revealed splenic hematoma and hemoperitoneum. She bled from the surgical sites during emergent splenectomy and work-up revealed hemophilia A. We present, to our knowledge, a case of the longest reported delay in presentation of post-colonoscopy splenic rupture and the first in a patient with hemophilia A. American College of Gastroenterology 2014-07-08 /pmc/articles/PMC4435321/ /pubmed/26157867 http://dx.doi.org/10.14309/crj.2014.43 Text en Copyright © Mazulis et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Case Report Mazulis, Andrew Lakha, Asif Qazi, Baseer Shapiro, Alan Delayed Presentation of Splenic Rupture After Endoscopy in a Patient With Hemophilia A: Case Report and Review of the Literature |
title | Delayed Presentation of Splenic Rupture After Endoscopy in a Patient With Hemophilia A: Case Report and Review of the Literature |
title_full | Delayed Presentation of Splenic Rupture After Endoscopy in a Patient With Hemophilia A: Case Report and Review of the Literature |
title_fullStr | Delayed Presentation of Splenic Rupture After Endoscopy in a Patient With Hemophilia A: Case Report and Review of the Literature |
title_full_unstemmed | Delayed Presentation of Splenic Rupture After Endoscopy in a Patient With Hemophilia A: Case Report and Review of the Literature |
title_short | Delayed Presentation of Splenic Rupture After Endoscopy in a Patient With Hemophilia A: Case Report and Review of the Literature |
title_sort | delayed presentation of splenic rupture after endoscopy in a patient with hemophilia a: case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435321/ https://www.ncbi.nlm.nih.gov/pubmed/26157867 http://dx.doi.org/10.14309/crj.2014.43 |
work_keys_str_mv | AT mazulisandrew delayedpresentationofsplenicruptureafterendoscopyinapatientwithhemophiliaacasereportandreviewoftheliterature AT lakhaasif delayedpresentationofsplenicruptureafterendoscopyinapatientwithhemophiliaacasereportandreviewoftheliterature AT qazibaseer delayedpresentationofsplenicruptureafterendoscopyinapatientwithhemophiliaacasereportandreviewoftheliterature AT shapiroalan delayedpresentationofsplenicruptureafterendoscopyinapatientwithhemophiliaacasereportandreviewoftheliterature |