DOI: 10.36347/sjams.2015.v03i04.020

Pages: 1707-1711

Haemophilic pseudotumor is one of the rare complications of haemophilia that results from repetitive bleeding resulting in an encapsulated mass of clotted blood and necrosed tissue. It is uncommon and is seen in severe cases of hemophilia. Complications and symptoms arise due to pain and/or compression of surrounding structures. We present a rare case of a 14 year old boy, haemophilic controlled with factor VIII who presented with a painless right hand swelling, with destruction and resorption of the 5th metacarpal and pressure effect on the surrounding structures. An initial assessment of giant cell tumor was made. The patient had excision and a final diagnosis of organizing haematoma. No haemorrhagic or infectious complications developed after excision.