by Rana Asim Javed MD, Karen
Marrero MD, Lawrence Wolf MD
Hemophilia B is characterized by deficiency in Factor IX, which results in prolonged oozing after injuries, tooth extractions, or surgery. In severe hemophilia B, spontaneous joint bleeding is the most frequent complication . Hemophilic pseudotumor is a rare complication in hemophiliacs with an incidence of 1-2% . A hemophilic pseudotumor is an encapsulated, chronic, slowly expanding hematoma . Pseudotumors that occur in muscles with broad tendon insertions oftenly progress to cause severe pressure erosion of adjacent bones.
We describe a case of a 52 years old male (Jehovah’s Witness) with history of Hemophilia B, legal blindness in both eyes and left thigh swelling for many years, presented in ED with oozing of blood from left thigh after minimal trauma to his left leg . Patient refused any blood transfusion .