Acute Compartment Syndrome of the Upper Extremity in Acquired Hemophilia A: A Case Report and Literature Review.
| Autor: | Inagaki N; Department of Orthopaedic Surgery, The Jikei University School of medicine, Tokyo, Japan., Udaka J; Department of Orthopaedic Surgery, The Jikei University School of medicine, Tokyo, Japan., Nishiwaki K; Division of Oncology and Hematology, The Jikei University Kashiwa Hospital, Chiba, Japan., Hattori D; Division of Oncology and Hematology, The Jikei University Kashiwa Hospital, Chiba, Japan., Hiramoto Y; Department of Surgery, The Jikei University Kashiwa Hospital, Chiba, Japan., Saito M; Department of Orthopaedic Surgery, The Jikei University School of medicine, Tokyo, Japan. |
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| Jazyk: | angličtina |
| Zdroj: | JBJS case connector [JBJS Case Connect] 2021 Aug 27; Vol. 11 (3). Date of Electronic Publication: 2021 Aug 27. |
| DOI: | e21.00304 |
| Abstrakt: | Case: Acute compartment syndrome (ACS) with acquired hemophilia A (AHA) is rare and has no established treatment strategy. A 64-year-old woman presented with a giant hematoma in the rectus abdominis. Laboratory findings included decreased hemoglobin and increased activated partial thromboplastin time. Arterial embolization was performed for hemostasis. After catheter removal, she developed severe arm pain and numbness with blistering. Fasciotomy was performed to decrease intracompartmental pressure. Laboratory investigations revealed decreased factor VIII (FVIII) activity and increased FVIII inhibitor. AHA was diagnosed and treated with immunosuppressive and FVIII inhibitor-bypassing agents. Conclusions: Fasciotomy should be performed promptly if ACS with AHA is suspected. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B649). (Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Databáze: | MEDLINE |
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