Vicente Garrigues, MD; Adolfo del Val, MD; Julio Ponce, MD; Joaquin Berenguer, MD
To the Editor: We report the case of a hemophiliac who presented with spontaneous hemobilia. A 45-year-old man was hospitalized for episodic upper abdominal pain. Severe hemophilia A had previously been diagnosed. Fifteen days before admission he had a self-limited episode of epigastric pain. Dark urine and light stools were noted, but hematemesis or melena was not present. The patient had jaundice and a temperature of 37.5° C. Abdominal organs were not enlarged. Hemoglobin was 9.3 g/dL; erythrocyte count, 3.13 X 1012/L; platelets, 178 X 109/L; leukocyte count, 5.5 X 109/L; total serum bilirubin, 4.8 mg/dL; direct bilirubin, 4.2 mg/mL;
Garrigues V, del Val A, Ponce J, Berenguer J. Hemobilia and Hemophilia. Ann Intern Med. ;109:345. doi: 10.7326/0003-4819-109-4-345_1
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Published: Ann Intern Med. 1988;109(4):345.
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