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CASE REPORT
Year : 2016  |  Volume : 50  |  Issue : 2  |  Page : 218-220

Internal iliac artery pseudoaneurysm in primary total hip arthroplasty


Department of Orthopedics, P. D. Hinduja National Hospital and MRC, Mahim, Mumbai, Maharashtra, India

Correspondence Address:
Sanjay Agarwala
Department of Orthopedics, P. D. Hinduja National Hospital and MRC, Mahim, Mumbai - 400 016, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.177586

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Vascular injury is one of the rare complications of primary total hip arthroplasty (THA). We report an unusual case of lobulated pseudoaneurysm arising from one of the branches of the left internal iliac artery during acetabulum preparation in THA, which was successfully treated with coil embolization and multidisciplinary care. After 6 years follow up, patient did not have any symptoms related to the hip replacement. We recommend that surgeons should be extremely cautious while drilling medial wall of the acetabulum for depth assessment. Aggressive multidisciplinary approach, including possible support from an interventional radiologist is required for the treatment of such vascular injuries.


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