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A Pelvic Pseudotumor in a Nonhemophilic Patient: An Unusual Presentation

Hemophilic pseudotumor is a rare complication of hemophilia, occurring in 1 to 2 percent of individuals with severe factor VIII or factor IX deficiency. A 35-year-old male presented with a swelling in the right lower abdomen for 3 months. There was no history of trauma. Examination revealed a swelli...

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Autores principales: Gouse, Mohamad, Livingston, Abel, Barnabas, Dan, Cherian, Vinoo Mathew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427095/
https://www.ncbi.nlm.nih.gov/pubmed/26000180
http://dx.doi.org/10.1155/2015/359735
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author Gouse, Mohamad
Livingston, Abel
Barnabas, Dan
Cherian, Vinoo Mathew
author_facet Gouse, Mohamad
Livingston, Abel
Barnabas, Dan
Cherian, Vinoo Mathew
author_sort Gouse, Mohamad
collection PubMed
description Hemophilic pseudotumor is a rare complication of hemophilia, occurring in 1 to 2 percent of individuals with severe factor VIII or factor IX deficiency. A 35-year-old male presented with a swelling in the right lower abdomen for 3 months. There was no history of trauma. Examination revealed a swelling over the right iliac fossa. Right hip showed 30° flexion deformity. Blood investigations like complete blood count, APTT, PT, bleeding and clotting time, and fibrinogen were all normal. Plain radiograph and MRI showed a lytic lesion in the right iliac wing. Excision biopsy of the swelling showed organized hematoma with a fibrous capsule suggestive of a pseudotumor. Further haematological workup like factors VIII and IX was normal. At 2 years follow-up, there was no recurrence. We report this case of pseudotumour in patient without any bleeding disorder. Such case has not been reported in literature to the best of our knowledge.
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spelling pubmed-44270952015-05-21 A Pelvic Pseudotumor in a Nonhemophilic Patient: An Unusual Presentation Gouse, Mohamad Livingston, Abel Barnabas, Dan Cherian, Vinoo Mathew Case Rep Hematol Case Report Hemophilic pseudotumor is a rare complication of hemophilia, occurring in 1 to 2 percent of individuals with severe factor VIII or factor IX deficiency. A 35-year-old male presented with a swelling in the right lower abdomen for 3 months. There was no history of trauma. Examination revealed a swelling over the right iliac fossa. Right hip showed 30° flexion deformity. Blood investigations like complete blood count, APTT, PT, bleeding and clotting time, and fibrinogen were all normal. Plain radiograph and MRI showed a lytic lesion in the right iliac wing. Excision biopsy of the swelling showed organized hematoma with a fibrous capsule suggestive of a pseudotumor. Further haematological workup like factors VIII and IX was normal. At 2 years follow-up, there was no recurrence. We report this case of pseudotumour in patient without any bleeding disorder. Such case has not been reported in literature to the best of our knowledge. Hindawi Publishing Corporation 2015 2015-04-27 /pmc/articles/PMC4427095/ /pubmed/26000180 http://dx.doi.org/10.1155/2015/359735 Text en Copyright © 2015 Mohamad Gouse et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gouse, Mohamad
Livingston, Abel
Barnabas, Dan
Cherian, Vinoo Mathew
A Pelvic Pseudotumor in a Nonhemophilic Patient: An Unusual Presentation
title A Pelvic Pseudotumor in a Nonhemophilic Patient: An Unusual Presentation
title_full A Pelvic Pseudotumor in a Nonhemophilic Patient: An Unusual Presentation
title_fullStr A Pelvic Pseudotumor in a Nonhemophilic Patient: An Unusual Presentation
title_full_unstemmed A Pelvic Pseudotumor in a Nonhemophilic Patient: An Unusual Presentation
title_short A Pelvic Pseudotumor in a Nonhemophilic Patient: An Unusual Presentation
title_sort pelvic pseudotumor in a nonhemophilic patient: an unusual presentation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427095/
https://www.ncbi.nlm.nih.gov/pubmed/26000180
http://dx.doi.org/10.1155/2015/359735
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