First report of bilateral avascular necrosis (AVN) of the femoral heads in a patient with dual factor V deficiency and factor V Leiden mutation: A unique coagulopathy intersection with therapeutic insights

We present what appears to be the first documented case worldwide of bilateral avascular necrosis (AVN) of the femoral heads in a young adult with the rare co-occurrence of congenital factor V (FV) deficiency and heterozygous FV Leiden mutation.