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Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
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Haemophilic pseudotumour presenting with large bowel obstruction
M O'Dowd1, T Geoghegan, P L Munk
1Department of Radiology, The Adelaide and Meath Hospital, Dublin, Ireland.
Australasian Radiology
|August 4, 2006
Summary
Osseous haemophilic pseudotumours are rare pelvic masses. This case highlights an unusual complication: a large pseudotumour causing bowel obstruction due to colon impingement.
Area of Science:
- Orthopaedics
- Haematology
- Gastroenterology
Background:
- Osseous haemophilic pseudotumours are rare, typically affecting the femur and pelvis.
- Trauma initiates lesion development, with repeated bleeding causing growth.
- Most pseudotumours grow slowly and are asymptomatic.
Observation:
- This report details an extremely unusual case of a large pelvic haemophilic pseudotumour.
- The pseudotumour extended to impinge the adjacent colon.
Findings:
- The pelvic pseudotumour caused significant mass effect on the colon.
- This impingement resulted in a critical complication: large bowel obstruction.
Implications:
- This case underscores the potential for severe, unexpected complications from osseous haemophilic pseudotumours.
- It highlights the importance of considering gastrointestinal obstruction in patients with large pelvic pseudotumours.
- Early recognition and management are crucial to prevent life-threatening outcomes.
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