Pradilla Juan Manuel, Tinoco Abelardo, Cely Luis Miguel, Buitrago Martha Paola
Departamento de Cirurgia Ortopédica, Fundación Cardioinfantil, Instituto de Cardiología, Bogotá, Colômbia.
Rev Bras Ortop (Sao Paulo). 2024 Dec 27;59(Suppl 2):e216-e219. doi: 10.1055/s-0044-1790594. eCollection 2024 Nov.
Patients with hemophilia disease have a high risk of hemorrhage. Most hemorrhages can occur in the musculoskeletal system, presenting as hematomas, or, in rare occasions, as hemophilic pseudotumors, an uncommon pathology that are often misdiagnosed as musculoskeletal tumors because of their clinical behavior and characteristics on diagnostic imaging. Despite many treatment options, surgical excision is the treatment of choice. This article describes a case of hemophilia A in a patient who suffered from progressive swelling of the right thigh for 12 months. Diagnostic imaging suggested a hemophilia pseudotumor with vascular bundle impingement. Surgical excision was successful.
血友病患者有很高的出血风险。大多数出血可发生在肌肉骨骼系统，表现为血肿，或在极少数情况下表现为血友病性假肿瘤，这是一种罕见的病理情况，由于其临床行为和诊断影像学特征，常被误诊为肌肉骨骼肿瘤。尽管有许多治疗选择，但手术切除是首选治疗方法。本文描述了一名甲型血友病患者的病例，该患者右大腿进行性肿胀12个月。诊断性影像学检查提示为伴有血管束受压的血友病性假肿瘤。手术切除成功。
