Document Type : case report

Authors

• Kunal kumar ¹
• deepak kumar ²

¹ Maulana Azad Medical College, New Delhi India

² Maulana Azad Medical College

Abstract

Background

Gastrointestinal tuberculosis can have a plethora of presentations commonly, abdominal discomfort, altered bowel habits, weight loss, fever, or mild rectal bleeds. Also, massive & recurrent life-threatening lower gastrointestinal bleeding (LGI) is an unusual presentation in mild-moderate hemophilia cases. Our case is a moderate hemophilic patient with significant recurrent GIT Bleed where ileocecal tuberculosis was identified.

Clinical description

We report an uncommon case of recurrent episodes of severe anemia with hypotensive shock in a patient with moderate hemophilia A due to massive rectal bleeding. The child was given factor VIII replacement therapy with each episode of bleed. The radionuclide scintigraphy revealed the ileal origin of bleed and contrast CT abdomen showed features suggestive of ileocaecal tuberculosis which was confirmed later microbiologically.

Management &Outcome

The patient showed significant improvement to anti-tubercular drugs and achieved remission.

Conclusion. An alternate diagnosis concurrent to the non-severe form of hemophilia should always be sought as a possibility in case of severe and recurrent bleeding manifestations.

Keywords

• Hemophilia,,
• ,،Intestinal tuberculosis,,
• ,،GIT Bleed,,
• ,،Pediatric