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강구정(Koo Jung Kan),김유사(You Sah Kim),강중신(Joong Shin Kang) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2
Patients with classical hemophilia present themselves with various bleeding episodes and most of them are diagnosed and treated by pediatricians, hematologists, and orthopedic surgeons. Surgery on these patients has become increasingly common and safe. There are three reasons for this. First, ease and specificity of diagnosis have been greatly faciliated by improved understanding of the coagulation mechanism and improved laboratory methods. Secondly, there has been increased availability of concentrated clotting materials, and increasing experience in the medical management of these patients. Thirdly, this group of patients now enjoys a longer life expectancy, and thus an incrcased probability of developing both those surgical diseases prevalent in the general population as well as the surgical problems peculiar to patients with bleeding disorders. Nevertheless, experience of general surgeons with hemophiliac patients are rather limited. Recently we have experienced a spontaneous infarction of parts of the jejunum following bleeding in the mesentery of the jejunum in a seven year old boy with known diagnosis of hemophilia A. A segmental resection of the jejunum and end-to-end anastomosis were carried out successfully. We are reporting this case with review of literature giving special emphasis on the hematological management in the perioperative period.