Post Tonsillectomy and Adenoidectomy Hemorrhage: Report of an Unsuspected Case of Mild Hemophilia A

"Mild" hemophilia can pose problems of great magnitude. Recognition of this disorder may elude modern coagulation screening tests. An in-depth family and personal history is important in detecting such patients. Quantitative assay by laboratory methods can determine the level of factor VIII. If a deficiency is found, the severity of postoperative bleeding is directly related to the level present. Assays should be performed early if excessive or prolonged bleeding is encountered postoperatively. Certainly the key to treatment is the correct diagnosis. Cryo-precipitated plasma administered intravenously was successful in controlling the hemorrhage and coagulation defect.