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Case Reports in Hematology
Volume 2015, Article ID 359735, 3 pages
http://dx.doi.org/10.1155/2015/359735
Case Report

A Pelvic Pseudotumor in a Nonhemophilic Patient: An Unusual Presentation

Unit 1, Department of Orthopaedics, Christian Medical College, Vellore 632004, India

Received 12 January 2015; Revised 11 April 2015; Accepted 15 April 2015

Academic Editor: Kate Khair

Copyright © 2015 Mohamad Gouse et al. 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.

Abstract

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.