Howard J M, Hanly A M, Stephens R B
Department of Colorectal Surgery, St James's Hospital, Dublin, Ireland.
Colorectal Dis. 2008 Feb;10(2):197-8. doi: 10.1111/j.1463-1318.2007.01315.x. Epub 2007 Aug 16.
Acute abdominal pain in haemophiliacs should be approached as haemorrhage until proven otherwise. With advancements in factor repletion and coagulopathic management a conservative approach should be considered. We describe a case of double colo-colonic intussusception lead by an intramural haematoma occurring spontaneously and resolving with conservative management in a young haemophiliac. This demonstrates that intussusception in these cases may be transient, and does not require surgical intervention.