PMC6668532_01
(a-d) Contrast computerized tomography images of the pelvic cavity at 10 days after the first evacuation procedure. A mass lesion was observed around the right hip joint. Although no active bleeding was observed, a hematoma was visible in this scan (white arrows).
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A contrast computed tomography (CT) showed a mass lesion extending from the right hip to the proximal femur (Figure 1).
(a) Intraoperative finding:a large hematoma identified around the right hip. (b) The extracted hematoma, after the second evacuation procedure.
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The patient was therefore diagnosed with an acquired FXIII deficiency, and a third procedure for an evacuation of the hematoma was performed (Figure 2), followed by an administration of human plasma-derived FXIII (Fibrogammin-P ; CSL Behring GmbH, Marburg, Germany) concentrate, at a dose of 1200 U/day for 5 days.