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Intussusception in haemophilia: a case report

R R Fripp, C D Karabus

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |October 1, 1977
    PubMed

    Insights

    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.

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