Postoperative cerebral bleeding in a boy with suspected mild deficiency of fibrinogen and FXIII
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Analysis with rotational thromboelastometry confirmed bleeding tendency.

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The in vitro study showed impaired clot stability to proteolysis at plasma dilution.

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The clot stability improved after addition of fibrinogen concentrate and tranexamic acid.

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Hyper-proteolytic potential of fibrin clot may explain the bleeding tendency.

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