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Int. J. Pediatr. Otorhinolaryngol. · Aug 1999
Case ReportsVon Willebrand disease as cause of unanticipated bleeding following adeno-tonsillectomy.
- J I de Diego, M P Prim, E Rodriguez, J Garcia, and M Morado.
- Department of Otorhinolaryngology, La Paz Hospital, Autonomous University of Madrid, Spain.
- Int. J. Pediatr. Otorhinolaryngol. 1999 Aug 20; 49 (3): 185-8.
AbstractVon Willebrand disease (vWD) is a frequent autosomal bleeding disorder. We report two unsuspected patients over 6 years of age with this disease operated by tonsillectomy and adenoidectomy (T&A) at our Department. Preoperative hematologic work-up (with activated partial thromboplastic time, prothrombin time, fibrinogen, and platelet count) was normal. Both patients had undergone previous adenoidectomy without complications. In both cases, profuse bleeding was noted in the immediate postoperative period. The therapeutic measures in these situations are discussed and a review of the current literature concerning preoperative hematologic evaluation of T&A is included.
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