Intraosseous haemophilic pseudotumor

Case contributed by Dr Prashant Mudgal

Presentation

known case of haemophilia presented with pain and swelling in right knee.

Patient Data

Age: 30 year
Gender: Male

There is a well defined, slightly expansile, osteolytic lesion seen involving proximal right tibia. The lesion is surrounded by thin sclerotic rim and displaying thin incomplete septae like structures.

Lateral radiograph shows scalloping of the posterior margin of tibia (smaller arrows in the annotated image) and radiating trabeculae (larger arrow in the annotated image) mimicking malignant or infectious periosteal reaction.

In a known case of hemophilia and considering the age of the patient imaging features are most likely suggestive of intraosseous haemophilic pseudotumor.

Case Discussion

Hemophilic pseudotumor is a rare complication occurring in 1–2% of patients with severe cases of hemophilia.

Image differentials include



 

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Case information

rID: 27167
Published: 22nd Jan 2014
Last edited: 14th Aug 2019
Tag: pm
Inclusion in quiz mode: Included

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