Preview

Russian journal of hematology and transfusiology

Advanced search

CASE OF SURGICAL TREATMENT OF MULTI-LOCALIZED PSEUDOTUMORS IN PATIENT WITH INHIBITOR HAEMOPHILIA A

https://doi.org/10.25837/HAT.2019.15.30.005

Abstract

Pseudotumors are rare complication in hemophilia patients, occurring in 1—2% of cases. The triggering mechanism of pseudotumor development is hematoma, which can transform into pseudotumor when the treatment is differed or not full. The most severe complication of pseudotumor are destruction of underlying tissues, infection and spontaneous dissection of the pseudotumor and the development of uncontrolled bleeding. Often pseudotumors are confused with malignant neoplasms, which leads to errors in the algorithms of examination and treatment of patients with hemophilia and pseudotumors. Therefore, the clinical case of treatment of giant pseudotumors of multiple localization at patient with an inhibitory form of hemophilia seems to be of interest.

About the Authors

V. Yu. Zorenko
National Research Center for Hematology
Russian Federation
Moscow


T. Yu. Polyanskaya
National Research Center for Hematology
Russian Federation
Moscow


N. V. Sadykova
National Research Center for Hematology
Russian Federation
Moscow


G. M. Galstyan
National Research Center for Hematology
Russian Federation
Moscow


E. E. Karpov
National Research Center for Hematology
Russian Federation
Moscow


M. S. Sampiev
National Research Center for Hematology
Russian Federation
Moscow


G. V. Mishin
National Research Center for Hematology
Russian Federation
Moscow


A. V. Golobokov
National Research Center for Hematology
Russian Federation
Moscow


I. E. Kostina
National Research Center for Hematology
Russian Federation
Moscow


D. A. Kudlaj
Institute for Advanced Studies of FMBA of Russia
Russian Federation
Moscow


References

1. Starker L. Knochenusur durch ein hemophiles, subperiostales hamatom. Mitt Med Chir. 1918;31:381—415.

2. Andreev YuN. The many faces of hemophilia. NewDiamed. Moscow; 2006.

3. Ahlberg AK. On the natural history of hemophilic pseudotumor. J Bone Joint Surg Am. 1975;57:1133—6.

4. Magallon M, Monteagudo J, Altisent C, Ibanez A, Rodriguez-Pesez A, Riba J et al. Hemophilic pseudotumor: Multicenter experience over a 25- year period. Am J Hematol. 1994;45:103—8.

5. Tezanos Pinto M, Nieto R, Perez Bianco R. Hemophilic pseudotumor: A report of 25 cases. In: Lascherand JM, Kessiler CM, eds. Hemophilia and von Willebrand’s disease in the 1990s. Elsevier Science Publishers; 1991:165—78.

6. Valentino LA, Martinowitz U, Doolas A, Murali P. Surgical excision of a giant pelvic pseudotumour in a patient with haemophilia A. Haemophilia. 2006;12:541—4.

7. Heim M, Martinowitz U. Pseudotumors in patients with hemophilia. In: Lee CA, Berntorp EE, Hoots WK, eds. Textbook of Hemophilia. Blackwell Publishing. Malden; 2005:174—6.

8. Rodriguez-Merchan EC. Haemophilic cysts (pseudotumours). Haemophilia. 2002;8:393—401.

9. Teitel J, Berntrop E, Collins P, D’Oiron R, Ewenstein B, Gomperts E et al. A systematic approach to controlling problem bleeds in patients with severe congenital haemophilia A and high-titre inhibitors. Haemophilia. 2007;13:256—63.

10. Teitel JM, Carcao M, Lillicrap D, Mulder K, Rivard GE, St-Louis J et al. Orthopaedic surgery in haemophilia patients with inhibitors: a practical guide to haemostatic, surgical and rehabilitative care. Haemophilia. 2009;15:227—39.

11. Takedani S, Mikami N, Kawasaki Y, Abe M, Arai H, Naka A et al. Excision of pseudotumour in a patient with haemophilia A and inhibitor managed with recombinant factor VIIa. Haemophilia. 2004;10:179—82.

12. Hermann G, Yeh HC, Gilbert MS. Computed tomography and ultrasonography of the hemophilic pseudotumor and their use in surgical planning. Skeletal Radiol. 1986;15:123—8.

13. Jaovisidha S, Ryu KN, Hodler J, Schweitzer ME, Sartoris DJ, Resnick D. Hemophilic pseudotumor: spectrum of MR findings. Skeletal Radiol. 1997;26:468—74.

14. Pettersson H, Ahlberg A. Computed tomography in hemophilic pseudotumor. Acta Radiol Diagn (Stockh). 1982;23:453—7


Review

For citations:


Zorenko V.Yu., Polyanskaya T.Yu., Sadykova N.V., Galstyan G.M., Karpov E.E., Sampiev M.S., Mishin G.V., Golobokov A.V., Kostina I.E., Kudlaj D.A. CASE OF SURGICAL TREATMENT OF MULTI-LOCALIZED PSEUDOTUMORS IN PATIENT WITH INHIBITOR HAEMOPHILIA A. Russian journal of hematology and transfusiology. 2018;63(3):258-265. (In Russ.) https://doi.org/10.25837/HAT.2019.15.30.005

Views: 1054


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0234-5730 (Print)
ISSN 2411-3042 (Online)