Bilateral Ileopsoas Muscle Hematoma and Hemorrhage Secondary to a Coughing Attack in a Patient with Hemophilia A: A Case Report

Icme F., Das M., Delice O., Yilmaz M., Dilek I., Kozaci N.

JOURNAL OF EMERGENCY MEDICINE CASE REPORTS, vol.4, no.1, pp.16-18, 2013 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 4 Issue: 1
  • Publication Date: 2013
  • Doi Number: 10.5505/jaemcr.2013.03064
  • Journal Indexes: Emerging Sources Citation Index (ESCI)
  • Page Numbers: pp.16-18
  • Keywords: Hemophilia A, iliopsoas hematoma, cough
  • Çanakkale Onsekiz Mart University Affiliated: No


Hemophilia A is an X-linked recessive disease characterized by defective or dysfunctional deficiency of factor VIII in the circulation. The incidence of factor VIII deficiency is lower than the incidence of vWD but it is the most common hereditary factor deficiency among the others. The prevalence of factor VII deficiency is approximately 1/10,000 in liveborn babies. There are three clinical types defined as light, medium and severe. In patients with severe clinical type hemarthrosis and other bleeding, which require factor replacement, may occur from birth. In these patients hemorrhage may occur spontaneously or secondary to trauma. However, severe muscle hemorrhage either spontaneous or secondary to minor trauma is rarely seen. In this report we present a 46 year old male patient with hemophilia A who applied to the emergency service because of abdominal pain following a coughing attack and a swelling on the left side. We detected hemorrhage and hematoma in bilateral iliopsoas muscle which developed due to a previous coughing attack.