Iliopsoas haemophiliac pseudotumours with bowel fistulation.
Two cases of iliopsoas haemophilic pseudotumours are presented. In one patient a fistula developed between a pseudotumour and the large bowel. This resulted in an abscess involving the pseudotumour and adjacent tissues. It resolved after 5 years of therapy involving percutaneous drainage and closure of the fistula. The second patient had a massive pseudotumour that had obstructed both ureters. Later he suffered a fatal mixed Gram negative septicaemia probably related to erosion into the colon.
Heaton
D C
DC
Department of Haematology, Christchurch Hospital, Christchurch, New Zealand. david.heaton@chmeds.ac.nz
Robertson
R W
RW
Rothwell
A G
AG
D000038:Abscess / Q000000981:diagnostic imaging / Q000628:therapy; D000328:Adult; D001847:Bone Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D003106:Colon / Q000473:pathology; D003108:Colonic Diseases / Q000209:etiology* / Q000628:therapy*; D005169:Factor VIII / Q000627:therapeutic use; D017809:Fatal Outcome; D005267:Femoral Nerve / Q000473:pathology; D005334:Fever; D006104:Granuloma, Plasma Cell / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006417:Hematuria; D006467:Hemophilia A / Q000150:complications* / Q000628:therapy; D006801:Humans; D007085:Ilium / Q000473:pathology*; D007412:Intestinal Fistula / Q000209:etiology* / Q000628:therapy*; D008297:Male; D009135:Muscular Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D010146:Pain; D010243:Paralysis / Q000209:etiology / Q000628:therapy; D016658:Psoas Muscles / Q000473:pathology*; D011859:Radiography; D018805:Sepsis / Q000628:therapy; D014517:Ureteral Obstruction
D005169:Factor VIII