Left paranasal hemophilic pseudotumor in a 5-year-old boy: A case report

Hemophilic pseudotumors are rare complications of hemophilia that are seen in 1-2% of patients commonly affecting patients with severe disease. Hemophilic pseudotumors occur as a result of recurrent poorly managed or untreated bleeding either in the soft tissue or bone. We report a 5-year-old boy with a previously undiagnosed hemophilia A who developed left paranasal swelling following a fall from a height. He was diagnosed with hemophilic pseudotumor and successfully managed conservatively with factor VIII replacement. Introduction Hemophilic pseudotumors are rare complications of Hemophilia A and B. They are estimated to occur in about 1-2% of patients.1 They are commoner among patients with severe Hemophilia and usually occur in the long bones, however soft tissues and cartilages can also be involved. Hemophilic pseudotumors, structurally composed of bleeds resulting from repeated hemorrhage in to soft tissues, subperiosteum or site of bone fracture with inadequate resorption of the extravasated blood in patients with hemophilia. Involvement of paranasal region are extremely rare and usually result from repeated untreated or poorly treated bleeding following trauma.1 We report a case of left paranasal pseudotumor in a 5-year-old boy who was managed conservatively with factor VIII replacement.