Bleeding Post Constriction Ring Release Surgery Causing Lower Limb Ischemia in an Infant with Undetected Hemophilia B

Indian Journal of Plastic Surgery

G. Venkateswaran¹  Monusha Mohan²  S. Raja Sabapathy²  Shashi Ranjani³ 

[1] Department of Anaesthesiology, Ganga Hospital, Coimbatore, Tamil Nadu, India;Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India;Visiting Pediatric hematologist, Ganga Hospital, Coimbatore, Tamil Nadu, India;

关键词: hemophilia;    constriction ring syndrome;    postoperative bleeding;   

DOI  :  10.1055/s-0041-1729509

来源: DOAJ

【 摘 要 】

Bleeding in the immediate postoperative period causing compromised limb circulation is an alarming complication. It is known to occur in coagulation disorders like hemophilia. When such complications happen in a child with no previous history of bleeding problems, one has to have a low threshold for suspecting a coagulation disorder. Repeated diffuse bleeding in the whole of the surgical wound with no specific bleeders must raise the suspicion and appropriate laboratory tests must immediately be ordered. Bleeding in coagulation disorders can stop only with supplementation of the appropriate missing clotting factor. Early diagnosis is important to avoid excess morbidity. We are reporting a 6-month-old child who underwent surgery for constriction ring syndrome in the limbs with Z-plasty and developed impending limb ischemia due to bleeding in the immediate postoperative period. The article emphasizes the need to think of the possibility while encountering recurrent bleeding in the postoperative period.

【 授权许可】

Unknown