Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2011
A large spontaneous abdominal bruise in a 60-year-old woman: a case report.
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Mogili Sujatha, Woodlock Timothy
Аннотация
OBJECTIVE: To report a case of severe abdominal bruising successfully diagnosed using systematic hemostatic investigations.
CLINICAL PRESENTATION AND INTERVENTION: A 60-year-old woman developed a large spontaneous nontraumatic, painless bruise over the right lower abdominal wall. Computed tomographic scan of the abdomen showed a subcutaneous hematoma beneath the site of the obvious bruise diagnosed as a hematoma. Laboratory tests revealed an activated partial thromboplastin time of 53 s and a factor VIII level of <1%, consistent with the diagnosis of acquired hemophilia A. The patient was treated with steroids and immunosuppressants and her factor VIII levels gradually normalized.
CONCLUSION: This case report showed that whenever there is spontaneous bruising, factor VIII deficiency should be considered as one of the important differential diagnosis.
CLINICAL PRESENTATION AND INTERVENTION: A 60-year-old woman developed a large spontaneous nontraumatic, painless bruise over the right lower abdominal wall. Computed tomographic scan of the abdomen showed a subcutaneous hematoma beneath the site of the obvious bruise diagnosed as a hematoma. Laboratory tests revealed an activated partial thromboplastin time of 53 s and a factor VIII level of <1%, consistent with the diagnosis of acquired hemophilia A. The patient was treated with steroids and immunosuppressants and her factor VIII levels gradually normalized.
CONCLUSION: This case report showed that whenever there is spontaneous bruising, factor VIII deficiency should be considered as one of the important differential diagnosis.