In patients with hemophilia, the usual treatment for both iliopsoas hematoma and associated femoral nerve compression is conservative. The case presented herein is a moderate hemophilia A patient with significant femoral neuropathy due to iliopsoas hematoma whose symptoms could not be managed with an aggressive factor VIII replacement program for >2 weeks. An unusual treatment option - percutaneous catheter insertion and aspiration of the hematoma - alleviated the examination findings and reversed his abilities.
*Department of Pediatric Hematology/Oncology, University of Health Sciences, Ankara Child Health and Diseases Hematology Oncology, Training and Research Hospital
†Department of Radiology, University of Health Sciences, Dişkapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
The authors declare no conflict of interest.
Reprints: Dilek Kaçar, MD, Department of Pediatric Hematology/Oncology, University of Health Sciences Ankara Child Health and Diseases Hematology Oncology, Training and Research Hospital, Şehit Ömer Halisdemir Cad, Kurtdereli Sok, Altindağ/Ankara 06130, Turkey (e-mail: email@example.com).
Received January 31, 2019
Accepted April 5, 2019