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Radial artery pseudoaneurysm in a neonate with hemophilia A
Shrenik Vora1, Thowfique Ibrahim, Victor Samuel Rajadurai
1Department of Neonatology, KK Womens and Childrens Hospital, 100, Bukit Timah Road, Singapore. Correspondence to: Dr Shrenik Vora, Staff Registrar, Department of Neonatology, KK Womens and Childrens Hospital, 100, Bukit Timah Road, Singapore 229899, dr_shrenikvora@yahoo.co.in.
Background:
Pseudoaneurysm formation is a rare complication of arterial puncture.
Case Characteristics:
3-week-old male developed an enlarging mass over the anterior aspect of left wrist following radial arterial puncture.
Observation:
Doppler ultrasonography revealed mass to be left radial arterial pseudoaneurysm. Subsequent presentation of ecchymoses and investigations confirmed factor VIII deficiency (Hemophilia A).
Outcome:
Pseudoaneurysm removed with primary end to end anastomosis. Patient is presently on regular factor VIII replacement therapy.
Message:
Hemophilia A can present as pseudoaneurysm in neonatal period.
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