Exploring Hemophilic Pseudotumors: A Comprehensive Case Series
Anshul Tomar *
Department of General Medicine, Maulana Azad Medical College, New Delhi, India.
Sunita Aggarwal
Department of General Medicine, Maulana Azad Medical College, New Delhi, India.
Ranvijay Singh
Department of General Medicine, Maulana Azad Medical College, New Delhi, India.
Soumia M
Department of General Medicine, Maulana Azad Medical College, New Delhi, India.
Anchit Aggarwal
University College of Medical Sciences, New Delhi, India.
*Author to whom correspondence should be addressed.
Abstract
Introduction: This case series investigates four hemophilic pseudotumors, which are rare but significant complications of hemophilia. All patients presented with localized swelling and pain, with imaging revealing mass-like lesions that mimicked tumors. Treatment involved a combination of surgical intervention and factor replacement therapy. The findings underscore the importance of diagnostic vigilance and highlight the necessity of a multimodal approach to manage these challenging cases effectively.
Aim(s): The major aim of this study is to highlight the prevalence of hemophilic complications like pseudotumors in India. Along with this, this series also aims to shed some light on the multi-disciplinary approach required to manage these complications of Hemophilia.
Study Design: Case series.
Methods and Materials: 4 cases were followed at a tertiary care centre who presented with various complaints but were each linked by hemophilic pseudotumor. It takes into account the management approach in each case.
Conclusion: Early detection of compressive symptoms in hemophilic pseudotumors is crucial for accurate surgical planning. Recent hemorrhages should be managed conservatively, while chronic cases with pain and pressure symptoms often require surgery. Surgical intervention, though complex, is essential and should involve a multidisciplinary approach to prevent morbidity and mortality.
Keywords: Hemophilia, pseudotumor, medicine, surgery