2021 Volume 41 Issue 3 Pages 141-144
Herein, we report the case of a 73-year-old man with hemophilia type A who presented with acute cholecystitis. Since it was considered that emergent cholecystectomy would be risky, we first performed percutaneous transhepatic gallbladder drainage after adequate supplementation of coagulation factor Ⅷ. Subsequently, open cholecystectomy was performed. The postoperative course was uneventful. The dose of coagulation factor Ⅷ was determined according to the guideline proposed by The Japanese Society on Thrombosis and Hemostasis. Thus, adequate replacement of coagulation factors enabled cholecystectomy for acute cholecystitis after PTGBD in a patient with hemophilia.
