Hemorragia postextracción de terceros molares en la enfermedad de von Willebrand. Reporte de un caso

Velázquez, Joel Omar Reyes; Alba, C. D. Ismael Vejar; Morán Macías, C. D. Awdrey Jashive; Brito, Daniel Barrera
October 2008
Medicina Oral (16656024);2008, Vol. 10 Issue 4, p95
Academic Journal
Case Study
The von Willebrand disease is a disorder originally described by Erik von Willebrand beginning 1900 decade. This haemorrhagic disorder was inherited with autosomic dominant character. Egeberg observed, decrease of the clotting activity in the VIII factor. In patients with the von Willebrand disease (vWd) commonly find long bleeding post trauma or surgical procedures. Hemorrhage after dental extraction its very frequent and often its required transfusions with factor VIII/von Willebrand factor concentrates. Also use adicional therapies as desmopressin and local haemostatics. We present a case of a female patient, in the fifth decade of life, with vWd, who consults us for moderate bleeding in the retromolar region of 1 week of evolution related with third molar eruption. She was evaluated and treated in the Maxillofacial Surgery Service of the Central Militar Hospital. Who despite of preoperatively cryoprecipitate transfusions, presented postextraction hemorrhage.


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