case_images: PMC7487110_01
case_images: The patient's left neck swelled on the first postoperative day.
case_images: CRIOT2020-8961785.001.jpg
case_images: PMC7487110_01_CRIOT2020-8961785.001.jpg
case_images: fig1
case_images: However, the patient's left neck and abdomen swelled on the first postoperative day (Figure 1), and computed tomography showed massive subcutaneous hemorrhage in these areas (Figure 2).
case_images: Computed tomography showed massive subcutaneous hemorrhage in the left neck (a) and abdomen (b) (arrows).
case_images: CRIOT2020-8961785.002.jpg
case_images: PMC7487110_01_CRIOT2020-8961785.002.jpg
case_images: fig2
case_images: However, the patient's left neck and abdomen swelled on the first postoperative day (Figure 1), and computed tomography showed massive subcutaneous hemorrhage in these areas (Figure 2).
case_images: Cross-mixing test. It demonstrates no factor deficiency but suggests a delayed-type inhibitor pattern 3 days after surgery. APTT, activated partial thromboplastin time.
case_images: CRIOT2020-8961785.003.jpg
case_images: PMC7487110_01_CRIOT2020-8961785.003.jpg
case_images: fig3
case_images: Cross-mixing test demonstrated no factor deficiency but suggested a delayed-type inhibitor pattern (Figure 3); because, his FVIII level was remarkably low (4%), and he was positive for the FVIII inhibitor (2.0 Bethesda units (BU)).
case_images: Detailed chart showing the patient's treatment progress. APTT, activated partial thromboplastin time; FVIII, coagulation factor VIII; BU, Bethesda units; rFVIIa, recombinant activated factor VIIa; PSL, prednisolone.
case_images: CRIOT2020-8961785.004.jpg
case_images: PMC7487110_01_CRIOT2020-8961785.004.jpg
case_images: fig4
case_images: A detailed chart of the patient's treatment progress is shown in Figure 4.