Hemophilic pseudotumor is a rare complication of hemophilia, occurring in 1 to 2 
percent of individuals with severe factor VIII or factor IX deficiency. A 
35-year-old male presented with a swelling in the right lower abdomen for 3 
months. There was no history of trauma. Examination revealed a swelling over the 
right iliac fossa. Right hip showed 30° flexion deformity. Blood investigations 
like complete blood count, APTT, PT, bleeding and clotting time, and fibrinogen 
were all normal. Plain radiograph and MRI showed a lytic lesion in the right 
iliac wing. Excision biopsy of the swelling showed organized hematoma with a 
fibrous capsule suggestive of a pseudotumor. Further haematological workup like 
factors VIII and IX was normal. At 2 years follow-up, there was no recurrence. 
We report this case of pseudotumour in patient without any bleeding disorder. 
Such case has not been reported in literature to the best of our knowledge.