Surgical Resection of Giant Thigh Haemophilic Pseudotumour with the Help of Fibrin Seal

Haemophilic cysts (Starker 1918) are encapsulated reservoirs of blood with a tendency to grow and increase in size; they are then called pseudotumours and continue to grow unless they are voided or resected. They are said to be “true” if they are intraosseous or within a muscle that encapsulates the progressive pseudotumour. We report on a case of a giant thigh pseudotumour of 4 years evolution that was resected from its localization in the groin (englobing the femoral vessels and nerve) down to the lower part of the thigh at medial knee level. During surgery fibrin seal (Tissucol, Immuno, Vienna) was used as haemostatic; in tertiary surgery, spray Tissucol was used as an adhesive for skin grafts.