EPIDURAL catheters are commonly used in today’s anesthetic practice, and complications are rare. However, hematomas within the spinal canal leading to compression of the spinal cord remain a major concern. In particular, anticoagulation and bleeding disorders are considered to be risk factors for hematoma formation after neuroaxial blockade. We report a case of paraplegia that developed after r...

congenital factor x deficiency is a rare autosomal recessive bleeding disorder that presents with variable bleeding tendency and prolonged coagulation tests, prothrombin time, and partial thromboplastin time. thromboembolic events have not been reported in patients with factor x deficiency yet. herein, we report a patient with factor x deficiency who had recurrent venous thromboembolic events.

INTRODUCTION Hepatic encephalopathy is an important underlying cause of consciousness disorders. Possible causes of hepatic encephalopathy include hepatic failure and shunt encephalopathy resulting from a portosystemic venous shunt. Balloon-occluded retrograde transvenous obliteration is generally an effective treatment for hepatic encephalopathy. CASE PRESENTATION A 73-year-old Japanese woma...

Acquired hemophilia A (AHA) is a rare disorder that results from the presence of autoantibodies against the clotting factor VIII (FVIII) causing hemorrhagic disorders. This entity is mostly associated with autoimmune diseases, pregnancy, the postpartum period, drugs and malignancy. Among the solid cancers, prostate neoplasm is the most common cause of AHA. The management of AHA involves the con...

INTRODUCTION Spontaneous retroperitoneal hemorrhage is a distinct clinical entity that can present as a rare life-threatening event characterized by sudden onset of bleeding into the retroperitoneal space, occurring in association with bleeding disorders, intratumoral bleeding, or ruptures of any retroperitoneal organ or aneurysm. The spontaneous form is the most infrequent retroperitoneal hemo...

Acquired haemophilia A (AHA) is a rare hemorrhagic disease caused by an autoantibody against coagulation factor VIII. Nonhaemophiliac patients develop autoantibodies (inhibitors) directed against the factor VIII circulating coagulation protein. Disease is associated with an increased morbidity and mortality. Inhibitors against FVIII induce acute and life-threatening hemorrhagic diathesis becaus...

Introduction: Acquired hemophilia A is very rare autoimmune disorder caused by an autoantibody to factor VIII that interferes with its coagulant function. It may be associated a number of conditions such as lymphoproliferative disorders, drugs and solid malignancies. Hemarthrosis in clinical presentation was never reported cases induced penicillin. Case presentation: We report 65-year-old male,...

a 28-year-old, 32 week pregnant primigravida woman with a past history of increased blood pressure presented with ruq pain as well as sudden onset of hematemesis. this case illustrates the occurrence of a rare complication (rupture of portal vein pseudoaneurysm inside the biliary system), appearing as upper gastrointestinal bleeding in a pregnant woman. the cause of the rupture is presumably pr...

Routine coagulation tests have been used for many years in the preoperative setting in the belief that they identify patients who may have acquired or congenital bleeding disorders, and on the assumption that testing will predict perioperative bleeding allowing treatment to be given and prevent it. Coagulation ‘screens’ typically include the prothrombin time (PT) and the activated partial throm...