
Following the circumcision, the infant continued to bleed from his circumcision and heel stick sites. The infant’s parents brought this to the attention of the hospital staff, but they were reassured this was normal. The infant was discharged with no additional care instructions. In the hours following the infant’s discharge, the circumcision site and heel stick continued to bleed. The infant was then taken back to the emergency room. A blood clot test was conducted on the infant. Although the results came back abnormal, the physicians did not attempt to stitch up the circumcision site nor did they provide the child with any fluids or blood products. A pediatric hematologist decided to order factor studies which revealed that the child had a severe Factor VIII deficiency. The child’s bleeding began to improve, and he was discharged. The next day, the child was limp and would not eat. The infant was rushed back to the emergency room and found to be in critical condition. On exam, his skin was pale blue and he was in respiratory distress. A stitch was placed on the child’s circumcision site, and the infant was given blood transfusions. As a result of these complications, the infant developed impaired kidney function and high-tier Factor VIII inhibitor.