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Case Reports
. 2019 May 13;12(5):e226661.
doi: 10.1136/bcr-2018-226661.

Unique case of delayed external iliac artery pseudoaneurysm after a remote total hip arthroplasty

Awni D Shahait  1 , Cristian Chagas  1 , Shakir Hussein  1 , Zeenat Bhat  2
Affiliations
Case Reports

Unique case of delayed external iliac artery pseudoaneurysm after a remote total hip arthroplasty

Awni D Shahait et al. BMJ Case Rep. .

Abstract

Vascular intrapelvic complications due to total hip arthroplasty failure are uncommon, with less than 30 cases reported in the literature. Herein, we report a case of unusual asymptomatic delayed vascular complication after 10 years from right total hip arthroplasty. A man in mid-50s, with multiple comorbidities including end-stage renal disease. The patient was admitted for the renal transplant surgery. Intraoperatively, right external iliac artery pseudoaneurysm was discovered, which required the transplantation to be done on the left side. After recovery from the renal transplant surgery, the patient underwent resection of the right external iliac artery pseudoaneurysm with primary anastomosis by vascular surgery, with resection of the migrated screw by orthopaedic surgery.

Keywords: prosthesis failure; transplantation; vascular surgery.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Pelvic X-ray showing right hip screw protruding into pelvic cavity.
See this image and copyright information in PMC

References

    1. Girard J, Blairon A, Wavreille G, et al. . Total hip arthroplasty revision in case of intra-pelvic cup migration: designing a surgical strategy. Orthop Traumatol Surg Res 2011;97:191–200. 10.1016/j.otsr.2010.10.003 - DOI - PubMed
    1. Bach CM, Steingruber IE, Ogon M, et al. . Intrapelvic complications after total hip arthroplasty failure. Am J Surg 2002;183:75–9. 10.1016/S0002-9610(01)00845-5 - DOI - PubMed
    1. Lawrence PF, Lorenzo-Rivero S, Lyon JL, et al. . The incidence of iliac, femoral, and popliteal artery aneurysms in hospitalized patients. J Vasc Surg 1995;22:409–16. 10.1016/S0741-5214(95)70008-0 - DOI - PubMed
    1. Tisi PV, Callam MJ. Treatment for femoral pseudoaneurysms. Cochrane Database Syst Rev 2013:CD004981 10.1002/14651858.CD004981.pub4 - DOI - PubMed
    1. Wilson JS, Miranda A, Johnson BL, et al. . Vascular injuries associated with elective orthopedic procedures. Ann Vasc Surg 2003;17:641–4. 10.1007/s10016-003-0074-2 - DOI - PubMed

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