Abstract
In summation, it is believed that the site of primary hemorrhage was in the pterygomandibular space with the formation of a hematoma which spread to the lateral pharyngeal and submandibular spaces, and, in turn, to the corresponding spaces of the opposite side of the neck. Pressure, caused by blood filling these spaces in the neck, is thought to have collapsed the pharynx. This pharyngeal collapse caused blockage of the air passage and death ensued. Surgical or anesthetic procedures should not be attempted in the patient with uncontrolled hemophilia. If a procedure is necessary, primary concern should be given to stimulating normal clotting activity by infusions of whole blood, plasma, or blood fractions containing the antihemophilic globulins. Local hemostatic measures will be effective only after this has been done.
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