Hemofilia sem diagnóstico prévio: um desafio na cirurgia pós‑trauma

Abstract

Mild hemophilia A is a rare hereditary blood dyscrasia that usually does not manifest with bleeding, unless there are trauma or surgical procedures. Previous diagnosis, in the pre and postoperative period, is an obstacle to be overcome. It is a hemophilic A patient without previous diagnosis, a motorcycle accident victim, with retroperitoneal hematoma formation and submitted to an exploratory laparotomy, evolving with persistent hemorrhages. He underwent surgical procedures until the diagnosis and stabilization of the condition after factor VIII replacement.