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Kaiser Ali
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Health Professions Medicine & Pharmacology

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Circumcision in boys with mild Hemophilia A – the Yogyakarta experience Pudjo Hagung Widjajanto; Ridwan Tjandra Sugiarto; Sutaryo Sutaryo; Kaiser Ali
Paediatrica Indonesiana Vol 47 No 2 (2007): March 2007
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (517.49 KB) | DOI: 10.14238/pi47.2.2007.71-3

Abstract

Background In boys with hemophilia, there is a risk ofhemorrhage resulting from circumcision. There has been nostandardised management in Indonesia. We report our experiencewith 4 hemophiliac boys who underwent circumcision at Dr.Sardjito General Hospital, Yogyakarta, in south-central Java.Objective To develop a safe, practical and accessible method toprevent bleeding in boys with hemophilia undergoing circumcisionin Indonesia.Methods Written informed consent was obtained from parentsrequesting the procedure. All boys had mild Hemophilia A (VIII:C level >7.8 U/ml) diagnosed at a median age of 4.4 years (range0.75–9 years). Median age at time of circumcision was 7.5 years(range 0.8–12 years).Results There were no intraoperative or post-circumcisionbleeding problem encountered in any of the patients, who weredischarged from hospital three days post-surgery. On follow upeight days and 12 days post-circumcision, they remained free ofcomplications.Conclusion Circumcision can be safely performed in boys withmild Hemophilia A following adequate pre-operative planningand prophylactic therapy. A standardised protocol for theYogyakarta Bleeding Disorders Program. evolving from thisexperience, is being planned.
Intestinal obstruction mimicking intra-abdominal hemorrhage in a teenager with familial thrombocytopenia: a case report Sutaryo Sutaryo; Kaiser Ali; Untung Widodo; Nunik Agustriyani; Edy Moeljono; Mark Belletrutti
Paediatrica Indonesiana Vol 43 No 3 (2003): May 2003
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (911.043 KB) | DOI: 10.14238/pi43.3.2003.106-10

Abstract

Inherited bleeding disorders are a heterogeneousgroup of disease that is complicated byhemorrhagic episodes, spontaneous, and post-traumatic. Included in this category of conditionsare Familial Thrombocytopenias (FT). FT are aheterogeneous group of inherited disorders that varyin severity with regard to the degree of reduction inplatelet counts and in expression of bleedingmanifestations. As in acquired thrombocytopenias, FTpatients are at risk for hemorrhagic complications.Rarely, patients with inherited non-thrombocytopeniableeding disorders can develop complications of acuteabdomen 1,2 which present as intraabdominalhemorrhage. We report a case of intestinal obstructionmimicking an uncomplicated intraabdominalhemorrhage in a teenager with FT.
Co-Authors Edy Moeljono Mark Belletrutti Nunik Agustriyani Pudjo Hagung Widjajanto Ridwan Tjandra Sugiarto Sutaryo Sutaryo Untung Widodo