Vascular embolization combined with amputation for recurrent hemophilic pseudotumor

Area of Science:

• Medicine
• Hematology
• Radiology

Background:

• Hemophilic pseudotumors are rare, life-threatening complications of hemophilia.
• Surgical management of these pseudotumors is challenging due to coagulation issues, wound healing problems, and infection risks.

Purpose of the Study:

• To present a case of recurrent hemophilic pseudotumor with refractory wound healing.
• To describe the successful management using a multidisciplinary approach combining vascular embolization and amputation.

Main Methods:

• A 28-year-old male with hemophilia and a history of pseudotumor and impaired wound healing underwent a multidisciplinary treatment strategy.
• The approach involved preoperative vascular embolization followed by a definitive amputation.

Main Results:

• The combined therapeutic strategy resulted in favorable postoperative outcomes.
• Complete wound healing was achieved, with no evidence of pseudotumor recurrence during a 6-month follow-up.

Conclusions:

• A multidisciplinary approach integrating vascular embolization and amputation can effectively manage recurrent hemophilic pseudotumors with complex wound complications.
• This strategy offers a viable solution for challenging cases refractory to conventional treatments.