Epidural Anesthesia in a Pediatric Patient with Unrecognized Hemophilia A

Abstract

Background:  Hemophilia A is a common inherited bleeding disorder that has wide spectrum of manifestations. In the majority of patients, hemophilia is diagnosed at birth because of a family history or in childhood period because of history of bleeding diathesis. However, some of patients may be undiagnosed for many years until the time of surgery. We report a case of 12-year-old patient with unrecognized hemophilia A receiving epidural anesthesia for elective surgery. Management after performing epidural anesthesia and the necessity of preoperative coagulation tests are also discussed.