ISSN 1941-5923


Hemophilic pseudotumor: case report and literature review

Carlos Salvador-Osuna, Nuria Fernandez-Mosteirin, José Félix Lucía Cuesta, Manuel Torres, Carlos Aguilar, Manuel Giralt

CaseRepClinPractRev 2004; 5:324-327

ID: 12308

Published: 2004-04-20

Background: Hemophilic pseudotumor is an uncommon complication in hemophiliacs. Most of the cases present a prior traumatic antecedent. About treatment, three possibilities are considered: conservative treatment, local radiotherapy, and radical surgery.Case Report: We describe a case of a 5-year-old male affected by hemophilia B who presented an hemophilic pseudotumor localized in the distal phalanx. The patient needed radical surgery after failure of conservative treatmemt.Conclusions: Our patient has a traumatic antecedent as an etiopathogenic factor, but the delay from trauma to admission to hospital seems to have contributed to the continous bleeding and the failure in conservative treatment. Age, injury’s location, radiotherapy side effects, and failure in substitutive therapy should be evaluated before considering surgery.

Keywords: pseudotumor, hemophilia, complications, Surgery