Spontaneous intramural gastric hematoma: a unique presentation for hemophilia

Intramural gastrointestinal hemorrhage is a recognized complication of trauma, anticoagulant therapy, and bleeding diatheses. Despite a recent increase in reporting of unusual cases of this entity, spontaneous intramural bleeding in the hemophiliac is uncommon, and occurrence in the stomach is very rare. We describe herein what to our knowledge is the first reported case of spontaneous intramural gastric hematoma as the presentation of previously unsuspected hemophilia and diagnosed radiographically. A brief description of this unusual complication, its radiographic appearance, and a review of relevant literature is provided.