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Pelvic pseudotumor and pseudoaneurysm in a pediatric patient with moderate hemophilia B: Successful management with arterial embolization and surgical excision
Author(s) -
Kumar Riten,
Pruthi Rajiv K.,
Kobrinsky Nathan,
Shaughnessy William J.,
McKusick Michael A.,
Rodriguez Vilmarie
Publication year - 2011
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.22678
Subject(s) - medicine , embolization , pseudoaneurysm , surgical excision , arterial embolization , surgery , radiology , aneurysm
Abstract Development of pseudotumors is an unusual complication of hemophilia. Treatment is controversial, especially in patients with large proximal lesions. Surgery, while curative, can be associated with massive intra‐operative bleeding, infection and amputation. Arterial embolization of blood vessels supplying the pseudotumor may reduce these complications. Herein, we report a 14‐year‐old patient with moderate hemophilia B with a pelvic pseudotumor and pseudoaneurysm that failed conservative management with factor replacement alone. He was successfully treated with Bead Block and coil embolization followed by surgical extirpation of the lesion 24 hr later. Pediatr Blood Cancer 2011;56:484–487. © 2010 Wiley‐Liss, Inc.