Alvin K. Shieh, MD, MS, Zachary C. Lum, DO, Avreeta K

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Presentation transcript:

External iliac vein compression secondary to osteolysis-induced hematoma in total hip arthroplasty  Alvin K. Shieh, MD, MS, Zachary C. Lum, DO, Avreeta K. Singh, MD, Gavin C. Pereira, MD  Arthroplasty Today  DOI: 10.1016/j.artd.2019.04.006 Copyright © 2019 Terms and Conditions

Figure 1 CT scan (a) and MRI (b) performed 5 years ago showing a smaller cystic lesion anterior to the acetabular component but without any vascular compression. Arthroplasty Today DOI: (10.1016/j.artd.2019.04.006) Copyright © 2019 Terms and Conditions

Figure 2 Anteroposterior (AP) (a) and lateral hip (b) radiographs demonstrating osteolytic lesions along the superior pubic ramus and greater trochanter. Arthroplasty Today DOI: (10.1016/j.artd.2019.04.006) Copyright © 2019 Terms and Conditions

Figure 3 Preoperative axial (a) and coronal (b) MRI demonstrating enlarged cystic lesion (thick white arrow) compressing the external iliac vein (thick black arrow) adjacent to the external iliac artery (thin white arrow). Postoperative axial (c) and coronal (d) MRI demonstrating decompression of the cystic lesion and right external iliac vein. Arthroplasty Today DOI: (10.1016/j.artd.2019.04.006) Copyright © 2019 Terms and Conditions

Figure 4 Consolidated hematoma removed from patient. Arthroplasty Today DOI: (10.1016/j.artd.2019.04.006) Copyright © 2019 Terms and Conditions

Figure 5 Metal head with fretting corrosion seen within the bore. Arthroplasty Today DOI: (10.1016/j.artd.2019.04.006) Copyright © 2019 Terms and Conditions

Figure 6 Anteroposterior pelvis radiograph obtained 9 months after revision of the right side and 3 months after the primary left total hip arthroplasty. Arthroplasty Today DOI: (10.1016/j.artd.2019.04.006) Copyright © 2019 Terms and Conditions