Surgical excision of a large popliteal varicosity in a patient with type 3 von willebrand disease

Tubachi, Prashant and Kudva, Annappa and Agarwal, Sourabh and Mannan, Vineet (2014) Surgical excision of a large popliteal varicosity in a patient with type 3 von willebrand disease. IOSR Journal of Dental and Medical Sciences, 13 (12). pp. 84-86. ISSN 2279-0861

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Abstract

Von Willibrands disease is the most common inherited bleeding disorder and hepatitis C a highly infective disease. Here by, we present an interesting case of a large bleeding popliteal varicosity in a patient with type 3 von Willibrands disease and hepatitis C positive status. A 33 year old female patient with a bleeding popliteal varicosity was managed by pressure bandages and foot end elevation at a rural hospital. She was then referred to our center. After resuscitation, she was administered with dried human coagulation factor VIII and cryoprecipitate. On clinical examination there was a bilobed swelling in the popliteal region along with a breach in the skin. Once the patient was hemodynamically stable, Colour Doppler was done which showed a large popliteal varicosity with thrombosis and multiple perforator incompetence in the great and short saphenous territory. Bleeding parameters were optimized by human coagulation factor VIII followed by excision of the large popliteal varicosity under general anesthesia. The outcome of the treatment was remarkable.

Item Type: Article
Uncontrolled Keywords: von Willibrand disease; varicosity bleeding.
Subjects: Medicine > KMC Manipal > Surgery
Depositing User: KMC Library
Date Deposited: 06 Sep 2016 08:48
Last Modified: 06 Sep 2016 08:48
URI: http://eprints.manipal.edu/id/eprint/146917

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