gms | German Medical Science

Background: Encapsulated hematomas are also known as hemophilic cysts, because their presentation is more frequent in patients with this disease patients suffering from this disease. It is a complication that occurs in 1-2% of patients with severe cases of hemophilia, and its presentation in non-hemophiliac patients is even more infrequent.

Methods: An 18-year-old male patient with no relevant medical history, who consulted for presenting a rapid, painful, pulsating growth of a tumor in the palm of his right hand. He had suffered a sharp cut with a glass in the palm of his right hand 15 days before the consultation.

Results: The histological image was linked to an encapsulated hematoma. After 10 months from surgery, the functionality of the hand is preserved and painless.

Conclusion: The descriptions in the literature are developed around hemophilic patients, and the cases are usually chronic and slow-growing, so the treatments are aimed at preventing this type of injury, and the reduction of its size by anticoagulants. Surgery is indicated only when they are large or aggressive. We consider it to be an infrequent complication of a cutting wound, however it should be considered as an option in persistent and rapidly growing hematomas.