Journal of Gastrointestinal & Digestive System
Open Access

Case Report

Intramural Hematoma of the Small Intestine in a Patient with Severe Hemophilia A. Case Report and Review of the Literature

H.M. Marcos Prieto^1*, C. Pinero Perez¹, J.M. Bastida Bermejo², D. Perez Corte¹, C. Revilla Morato¹, A. Jimenez Jurado¹, V. Calabuig Mazzola¹, J.M.Gonzalez Santiago¹, Y. Jamanca Poma¹, A. Mora Soler¹, J.R. González Porras² and A.Rodriguez Pérez¹

¹Department of Digestive System Health Care Complex of Salamanca, Salamanca Institute for Biomedical Research (IBSAL), Spain

²Department of Hematology Health Care Complex of Salamanca. Salamanca Institute for Biomedical Research (IBSAL), Spain

*Corresponding Author:

H.M. Marcos Prieto
Health Care Complex of Salamanca.
Salamanca Institute for Biomedical Research (IBSAL)
Digestive System, san vicente nº182, Espana, salamanca
salamanca 37007, Spain
Tel: +34665085106
E-mail: h.mp@hotmail.es

Received date: Nov 21, 2015 Accepted date: Dec 14, 2015 Published date: Dec 21, 2015

Citation: Prieto HMM, Perez CP, Bermejo JMB, Corte DP, Morato CR, et al. (2015) Intramural Hematoma of the Small Intestine in a Patient with Severe Hemophilia A. Case Report and Review of the Literature. J Gastrointest Dig Syst 5:363. doi:10.4172/2161-069X.1000363

Copyright:© 2015 Prieto HMM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Intestinal subocclusion is a clinical picture characterized by an incomplete interruption of the distal progression of the intestinal contents, and it may be due to multiple causes. We present here the case of a 20-year-old male with severe hemophilia A who developed symptoms of periumbilical abdominal pain and intestinal subocclusion. The CT scan revealed submucosal hemorrhage in the jejunum and dilatation of the proximal segments. A conservative treatment with plasmatic factor VIII was applied and the patient showed good response to the treatment and resolution of the intramural hematoma. With this case we want to highlight this intestinal manifestation of hemophilia, its atypical clinical behavior as intestinal subocclusion and its good response to a conservative treatment with factor VIII, as opposed to surgery as the first therapeutic option. We also offer a review of the last cases of hematomas in the gastrointestinal tract in hemophiliac patients.

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