Open AccessA lobulated pseudoaneurysm during acetabulum preparation in primary total hip arthroplasty
Author(s) -
Sanjay Agarwala,
Ganesh Mohrir,
Pradeep Moonot
Publication year - 2016
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.177586
Subject(s) - medicine , acetabulum , pseudoaneurysm , surgery , total hip arthroplasty , embolization , radiology , aneurysm
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.