Massive Preperitoneal Hemorrhage from Unknown Source After Revision Total Hip Arthroplasty, Case Report

Vascular injuries are rare but serious complications of total hip arthroplasty. Many mechanisms have been described, which include: joint manipulation and dislocation, intra-joint protrusion of cement or screws, excessive retraction, direct damage by sharp instruments and heat injury from cement polymerization. One of the most important risk factors is revision surgery and surgery on the left hip. 2.