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Rev Stomatol Chir Maxillofac · Jun 2008
Case Reports[Compressive retropharyngeal hematoma in a hemophiliac patient].
- A Benhammou, M Boulaadas, M Boulaich, M A Benbouzid, L Essakali, and M Kzadri.
- Service d'ORL et de chirurgie maxillofaciale, hôpital des spécialités, CHU de Rabat-Salé, Rabat, Maroc. aidabenhammou@gmail.com
- Rev Stomatol Chir Maxillofac. 2008 Jun 1;109(3):187-9.
IntroductionThe retropharyngeal hematoma is rare and usually due to trauma, anticoagulation therapy complication or ascending aortic dissection. This presentation is extremely rare in hemophiliac patients.ObservationA 23-year-old hemophiliac patient presented with a spontaneous onset large retropharyngeal hematoma extended to the floor of the mouth associated with dyspnea, dysphagia and dysphonia. The patient underwent adequate and successful medical treatment.DiscussionHemophilia A is characterized by a deficit in factor VIII. Clinical symptoms are not specific and vary with the level of the intrinsic factor. Hematoma of the cervical region is a rare but potentially life-threatening event. The treatment requires transfusion of the specific factor and education of the patient and his relatives.
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