Long-term evaluation of a novel surgical approach to the pseudotumour of the ilium in haemophilia: exeresis and transposition of the omentum in the residual cavity

Pseudotumour of the ilium is a rare but severe complication in haemophiliac s. Excision is often complicated by infections, fistulation and extensive p elvic bone destruction. In 1978, the first author carried out excision of t he pseudotumour with transposition of the omentum in the dead cavity to avo id recurrence. This type of surgery has been carried out in three additiona l patients. The long follow-up of these four patients suggests that this pr ocedure is feasible and curative; local bleeding, infection and fistulation did not recur and the patients remained ambulant with the aid of appropria te devices.