December 1974

Surgical Procedures in Unsuspected Hemophilia

Author Affiliations

From the Division of Pediatric Surgery, Department of Surgery, University of Kentucky School of Medicine, Lexington, Ky.

Arch Surg. 1974;109(6):835-836. doi:10.1001/archsurg.1974.01360060101028

Although hemophilia is present from birth, in uncommon instances, such as this case report, the disease may lie dormant for several decades. Therefore, it cannot be ruled out by age alone, and it must be considered in certain clinical settings. For reasons not known, adequate correction of factor deficiencies after the patient has had significant symptoms often will not halt the bleeding. In contrast, prophylactic correction prior to trauma, such as surgery, is usually preventive. Although normal coagulation studies usually eliminate the possibility of hemophilia, studies without factor assays may fail to make the diagnosis.