A Case of Hemophilia B with Colon Cancer and GIST of Ileum Treated by Single Incision Laparoscopic Surgery

Abstract

A 77-year-old man with a medical history of hemophilia B, without regular follow-up, visited the local hospital, complaining of prolonged bloody stools. Blood tests revealed severe anemia (Hb 3.5 g/dL), and colonoscopy revealed type-2 colon cancer of the ascending colon. A computed tomography scan revealed a gastrointestinal stromal tumor (GIST) of the ileum. Recombinant factor-IX products were administered following Guidelines for The Management of Hemophilia. After treating the anemia and electrolyte imbalance, we performed single-port laparoscopic right hemicolectomy and partial resection of ileum. There were no complications during the surgery and in the post-operative period. The patient was discharged on post-operative day 7.
Thus far, not much was known about the safety of laparoscopic surgery for hemophilia patients. Single-port laparoscopic right hemi colectomy provided good surgical outcome and could be one a safe and feasible choice for hemophilia patients with GIST.