Case Report

Volume: 4 | Issue: 11 | Published: Nov 06, 2020 | Pages: 384 - 386 | DOI: 10.24911/ejmcr/173-1589881846

Enterocutaneous fistula in a hemophilia B patient: case report


Authors: Sana Shahid , Hina Abdul Qayoom Khan , Summaya Saeed , Jan Muhammad Agha , Khursheed A. Samo , Mujeeb ur Rehman Abbasi , Amjad Siraj Memon


Article Info

Authors

Sana Shahid

Surgical Unit 3, Dow University of Health Sciences, Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Pakistan

Hina Abdul Qayoom Khan

Surgical Unit 3, Dow University of Health Sciences, Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Pakistan

Summaya Saeed

Surgical Unit 3, Dow University of Health Sciences, Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Pakistan

Jan Muhammad Agha

Surgical Unit 3, Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Pakistan

Khursheed A. Samo

Surgical Unit 3, Dow University of Health Sciences, Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Pakistan

Mujeeb ur Rehman Abbasi

Surgical Unit 3, Dow University of Health Sciences, Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Pakistan

Amjad Siraj Memon

Surgical Unit 3, Dow University of Health Sciences, Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Pakistan

Publication History

Received: May 19, 2020

Accepted: September 14, 2020

Published: November 06, 2020


Abstract


Background: Hemophilia B is a rare entity than other coagulation disorders. It is an X-linked disorder characterized by a deficiency of functionally active coagulation factor IX (FIX), resulting in spontaneous or trauma-induced bleeding primarily in joints, muscles, and soft tissues. Case Presentation: We report a case of a female who presented with a surgical problem. She had a history of massive transfusion many years back. She bled perioperatively and then we investigated her and luckily found the deficiency of FIX. She was managed and discharged home well. Conclusion: Surgeons rarely comes across this rare coagulation disorder, so this was an intriguing case in view of the unusual presentation, initial diagnostic dilemma, and challenges in management.

Keywords: Enterocutaneous fistula, hemophilia B, coagulation disorder, factor IX, case report, green