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A 형 혈우병환자에서 방광과 누공을 형성한 혈우병성 위종양 1 예
하철봉,김정완,김치호,송근암,조군제,한상영,나하연,임홍섭,박희옥,이병구 대한내과학회 1988 대한내과학회지 Vol.35 No.4
A hemophilic pseudotumor is a rare complication of hemophilia, defined as a progressive cystic swelling involving muscle, produced by recurrent hemorrhage and accompanied by roentgenographic evidence of bone involvement. Its treatment is very difficult because of the danger of sepsis and continued hemorrhage and necrosis. The best treatment is the prevention of hemorrhage in emophiliacs. Recently, we experienced a hemophilic pseudatumor in a hemophilia A patient with formed a fistula with the urinary bladder, This 36 year old man, diagnosed as a hemophilia at age 3 years, presented with abdominal distension, abdominal pain and hematuria. The abdominal CT scan and cystogram showed a huge right lower abdominal mass which had eroded the right iliac bone and formed a fistula with the bladder. After subs-titutional therapy, the patient improved and was discharged.