INTRODUCTION: Hemophilic pseudotumor is a rare complication occurring in 
patients with hemophilia, frequently seen in the femur, tibia, pelvic bones, 
iliac bones, or rarely in the maxillofacial region.
CASE REPORT: A 7-year-old male reported with a spontaneous extra-oral swelling 
that was managed with pre-operative transfusion of factor IX along with 
curettage of the lesion. Our report presents only the fourth case in literature 
wherein this tumor presented in a patient with hemophilia B.
FINDING: Hemophilic pseudotumor is a rare entity in the maxillofacial region. 
High degree of suspicion is required for diagnosis, and close coordination 
between the medical and surgical teams aids in management.