Anesthetic Management of Hemophilia C in a Patient with Recurrent Intra-abdominal and Retroperitoneal Liposarcoma using ROTEM®

Intraoperative coagulopathies can be complex and difficult to treat. Its management is further obfuscated in patients with pre-existing bleeding disorders. Hemophilia C, is an autosomal recessive bleeding disorder. Like in most hemophilias, the bleeding tendency is variable depending on the activity level of factor XI. However, because hemophilia C is less common than other coagulopathies, it is usually recognized only after inappropriate bleeding often overcorrected with blood products, exposing the patient to further risks. The purpose of this report is to describe the role of rotational thromboelastometryin the anesthetic management of a patient with hemophilia C undergoing debulking of a recurrent intra-abdominal and retroperitoneal liposarcoma.