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A 12-year-old boy with gastrointestinal bleeding
1Department of Emergency Medicine, Albany Medical Center, Albany, NY, USA. tilneyp@mail.amc.edu
Air Medical Journal
|November 9, 2010
Summary
A 12-year-old boy with hemophilia A developed sudden abdominal pain, nausea, and vomiting. Imaging revealed a duodenal hematoma and gastric obstruction, highlighting rare complications in patients with bleeding disorders.
Area of Science:
- Pediatric Gastroenterology
- Hematology
- Radiology
Background:
- Hemophilia A is a genetic bleeding disorder.
- Gastrointestinal complications are rare but serious in hemophilia patients.
Observation:
- A 12-year-old male with undiagnosed hemophilia A presented with acute abdominal pain, nausea, and vomiting.
- Computed tomography (CT) scan revealed significant abdominal abnormalities.
Findings:
- Spontaneous transmural duodenal hematoma was identified.
- Retroperitoneal gastric obstruction was also observed.
Implications:
- This case underscores the importance of considering bleeding disorders in pediatric abdominal emergencies.
- Prompt diagnosis and management are crucial for preventing severe gastrointestinal complications in hemophilia patients.
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