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Indian Journal of Hematology and Blood Transfusion

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01-09-2014 | Case Report

Spinal Epidural Hematoma in a Patient with Hemophilia B Presenting as Acute Abdomen

Authors: Nilay Nirupam, Harish Pemde, Jagdish Chandra

Published in: Indian Journal of Hematology and Blood Transfusion | Special Issue 1/2014

Abstract

Spontaneous spinal epidural hematoma (SSEH) is a rare complication in patients of haemophilia. We report the case of a 9-year-old boy with severe haemophilia B who presented with acute abdomen of 5 days duration. Acute onset of neck/back pain,walking impairment and urinary retention has usually been described as symptom complex in SSEH. The hematoma was identified by magnetic resonance imaging of the spinal column. Our case calls attention to recognition of abdominal pain (with no other localizing features) as initial symptom of SSEH and prompt evaluation and management before more overt symptoms of spinal cord compression becomes evident.

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Title: Spinal Epidural Hematoma in a Patient with Hemophilia B Presenting as Acute Abdomen
Authors: Nilay Nirupam
Harish Pemde
Jagdish Chandra
Publication date: 01-09-2014
Publisher: Springer India
Published in: Indian Journal of Hematology and Blood Transfusion / Issue Special Issue 1/2014
Print ISSN: 0971-4502
Electronic ISSN: 0974-0449
DOI: https://doi.org/10.1007/s12288-013-0245-4

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