Patients with severe hemophilia are usually diagnosed in infancy due to early onset of abnormal bleeding symptoms that characterize the disease. Affected individuals require coagulation factor routinely or prior to surgical procedures to prevent bleeding and are usually excluded from activities with a high risk of trauma. A 25-year old active-duty soldier was diagnosed with severe congenital hemophilia A after presenting with initial episode of prolonged bleeding. His case demonstrates a rare late presentation of a disease that typically presents in infancy and highlights the need for improving knowledge about bleeding disorders among health workers and the community.

Severe hemophilia symptoms usually start in infancy. Affected individuals require coagulation factor routinely to live a normal life. A 25-year old active-duty soldier was diagnosed with severe congenital hemophilia A after presenting with initial episode of prolonged bleeding. His case demonstrates a rare late presentation of hemophilia.