Abstract
A hemophilic pseudotumor is basically an encapsulated hematoma; it has become rarer over the years with better treatment modalities for bleeding disorders like factor replacement. Its prevention is paramount; this goal can be achieved by primary prophylaxis to avoid muscle hematomas and by adequate and long-term hematological treatment of muscle hematomas in case they appear. There are a number of therapeutic alternatives for this dangerous condition: surgical removal, percutaneous management, exeresis and filling of the dead cavity, irradiation, and embolization. The management of the patient with a hemophilic pseudotumor is complex and with a high rate of potential complications. Surgical excision is the treatment of choice but should only be carried out in major hemophilia centers by a multidisciplinary surgical team. The main postoperative complications are death, infection, fistulization, and pathological fractures (requiring even amputation of the affected limb).
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