Hematoma due to hemorrhagic
diathesis
A 2 year-old boy was brought for examination of his swollen right
thigh. His mother reported that the swelling occurred following
an incident when, during a game when she was chasing him, he was
obliged to sit down heavily, landing with his right buttock on
the floor. The question was whether this was unilateral edema,
thrombophlebitis or hematoma. The presence of microecchymoses
on the posterior aspect of the thigh is evidence of a hemorrhagic
manifestation. Elicitation of the family history revealed that
a first cousin of the boy on his mother's side is a known hemophiliac.
The investigation of his hemostatic mechanism showed deficiency
of factor VIII (FVIII:C= 4%). In the figure
1 on scan 3 and in the figure 2.
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