2023 Volume 36 Issue 2 Pages 54-58
Hemophilia is a hereditary recessive disease that causes a coagulation disorder. Pseudoaneurysm of upper limb is rare, and there are few studies in hemophilia patients. Herein, we describe a 32-year-old man without any treatable illness. He accidentally cut his distal volar forearm by a kitchen knife. At the first consultation, pulsating bleeding was seen, and it was immediately stopped by compression. Four weeks after, the patient complained of a growing pulsating mass around the scar. Contrast-enhanced tomography showed it had enhanced and unenhanced parts beside the ulnar artery. We diagnosed pseudoaneurysm and made a surgical plan. Preoperative laboratory data showed APTT was 51.8 seconds. An additional test showed clotting factor level was 10%, which diagnosed mild hemophilia A. With a perioperative infusion of factor Ⅷ, we excised the mass with the attached ulnar artery and performed end-to-end anastomosis. At fourteen months follow-up, ultrasound showed good patency of the vessel and no recurrence. Our findings suggest unindicated mild hemophilia is a risk factor for pseudoaneurysm.
