A Pelvic Pseudotumor in a Nonhemophilic Patient: An Unusual Presentation

Abstract EN

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 aswelling 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.