Recombinant activated factor VII for refractory bleeding during pediatric spinal tumor surgery: A case report
Journal Title: Indian Journal of Case Reports - Year 2018, Vol 4, Issue 6
Abstract
Bleeding complications constitute a particular challenge in neurosurgical procedures especially in children and may be lifethreatening. We report the case of a 5-month-old boy to whom recombinant activated factor VII was given at doses of 90 μg/kg of body weight for the control of refractory perioperative bleeding during spinal neurofibromas surgery. Conventional treatment with fresh-frozen plasma, platelet concentrates, and fibrinogen concentrate failed to control hemorrhage. Recombinant activated factor administration resulted in decreased bleeding, hemodynamic stabilization, and improved surgical hemostasis.
Authors and Affiliations
Rebai Lotfi, Boussaidi Ines, Daghmouri Aziz, Ghader Ghassen
Keywords
Related Articles
- EP ID EP508344
- DOI -
- Views 86
- Downloads 0
Atypical polypoid adenomyoma with extensive morular metaplasia - Case report
Atypical polypoid adenomyoma (APA) is a rare and benign endometrial polypoid lesion. APA was found in a 38-year-old woman who presented with excessive vaginal bleeding. Histopathological examination of the polyp was cons...
A challenging case of total hip arthroplasty in a hemodialysis patient having avascular necrosis of femoral head
Avascular necrosis (AVN) is an uncommon complication of hemodialysis. Total hip arthroplasty (THA) is the chosen treatment modality in patients suffering from late-stage AVN of the femur; however, performing THA in a hem...
Microspherophakia and congenital superior divisional third nerve palsy: A rare presentation
Unilateral microspherophakia without systemic associations is a rare condition and so is congenital palsy of the superior division of the third nerve. Here, we report both these rarities together in a 32-year-old male wh...
Management of antenatally diagnosed hydronephrosis in a child presenting later with urinary tract infections: A case report
Preservation of renal function remains the main goal of follow-up of a child with antenatal hydronephrosis. The question remains as to how long we need to follow these children. Even after several decades, the indication...
Multifocal retiform hemangioendothelioma of bone masquerading as skeletal metastasis
Hemangioendothelioma (HE) is a rare primary bone tumor of vascular origin constituting 0.5–1% of primary malignant bone tumors. Here, we report the clinical and histopathological features of a 38-year-old male who presen...