2023 Volume 32 Issue 2 Pages 87-91
Post-catheterization pseudoaneurysms are familiar to vascular surgeons. Acquired hemophilia A, on the other hand, is a very rare condition caused by autoantibodies against coagulation factor VIII, which can result in fatal hemorrhage. In the present case, a patient was diagnosed with acquired hemophilia A due to prolonged bleeding from a catheter puncture site and the formation of a pseudoaneurysm. The case was a 79-year-old man, admitted to our department with a pseudoaneurysm of the dorsal radial artery of the left hand after treatment for subacute myocardial infarction. The patient had a hematoma of the dorsal left hand and extensive subcutaneous hemorrhage of the upper limb and trunk. The laboratory date showed prolonged APTT. As the results of the examinations acquired hemophilia A was diagnosed. During the course of the treatment, he suffered acute cholecystitis and his general condition deteriorated, but the patient was successfully treated with percutaneous transhepatic gallbladder drainage and endoscopic transpapillary gallbladder drainage. In patients with severe bleeding tendency and prolonged APTT, this syndrome should be considered as a differential diagnose and an early intervention and appropriate treatment strategy for the comorbidities should be determined.
