Iliopsoas Hematoma in a Child with Factor XIII Deficiency

Fourteen years-old girl patient followed with factor XIII deficiency admitted to the clinic with right pelvic pain. Her family history revealed that there is consanguinity between mother and father and no history of bleeding in her family. In her personal history, she has umbilical-cord bleeding at the neonatal period and most of the laboratory screening tests were found to be normal. Because of the normal results of the other factor assays and platelet number and functions, Factor XIII test was done and found to be abnormal. She has some intermittent hematomas of muscle and some other bleedings treated with FFP then. In the follow up because she was limping abdominal usg and tomograpy performed and right iliopsoas hematoma was detected. Daily FFP was the main treatment because of no factor preparation available. After a week she was normally walking and no pain symptoms remained. The patient was presented because of a rare association of factor XIII deficiency and iliopsoas hematoma. A clinician must also be alert also for this unexpected bleeds when the similar symptoms become to gather.