Case 38-2008: A 58-year-old man with hemophilia, hepatocellular carcinoma, and intractable bleeding
A 58-year-old man was admitted to this hospital because of hepatitis C infection, hepatocellular carcinoma, and recurrent bleeding. Hemophilia had caused multiple hemarthroses, for which he had received blood products since infancy. Hepatocellular carcinoma was detected 8 months before admission; attempts at radiofrequency ablation had been complicated by hemorrhage and the failure to correct coagulation-test results with factor VIII. A surgical procedure was performed. Copyright © 2008 Massachusetts Medical Society.
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