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Intussusception in haemophilia: a case report
Summary
Intussusception in a boy with hemophilia was caused by an intramural hematoma. Barium enema successfully reduced the ileocolic intussusception, offering a new treatment approach.
Area of Science:
- Pediatric Surgery
- Hematology
Background:
- Intussusception is a common surgical emergency in children.
- Hemophilia predisposes individuals to bleeding complications, including hematoma formation.
Observation:
- A case of ileocolic intussusception in a pediatric patient with hemophilia is presented.
- The intussusception was presumed to be caused by an intramural hematoma.
Findings:
- This is the first reported case of intussusception in a hemophilic child successfully reduced by barium enema.
- Prompt factor VIII replacement therapy was administered alongside the reduction procedure.
Implications:
- Barium enema reduction, combined with timely factor VIII replacement, may be the preferred treatment for intussusception in hemophilic patients.
- This approach could minimize the need for surgical intervention in such cases.