Lax-Pérez R, Salinas-Gilabert JE, Lajara-Marco F, Lax-Pérez A, Corraliza-Zamorano A, García-Gálvez A, Izquierdo-Plazas L

Language: Spanish
References: 19
Page: 180-183
PDF size: 641.37 Kb.

ABSTRACT

The case of a male 76 year-old patient with a history of total hip replacement surgery is presented herein. The patient had tumors in the iliac fossa with swelling of the thigh and pain upon hip flexion and extension. The complementary ultrasound and computed tomography show a large lobed cystic tumor in the left iliac fossa, 7 cm in diameter, close to the prosthesis. The diagnosis was psoas bursitis secondary to the release of polyethylene particles that caused compression and thrombosis of the superficial femoral vein. Cyst formation caused by polyethylene disease after total hip arthroplasty is infrequent.

REFERENCES

1. Weinreb JC, Cohen JM, Maravilla KR: Iliopsoas muscles: MR study of normal anatomy and disease. Radiology 1985; 156(2): 435-40.

2. DeFrang RD, Guyer WD, Porter JM, Duwelius PJ: Synovial cyst formation complicating total hip arthroplasty. A case report. Clin Orthop 1996; 325: 163-7.

3. Wang JW, Lin CC: Pelvic mass caused by polyethylene wear after uncemmented total hip arthroplasty. A case report. J Arthroplasty 1996; 11(5): 626-8.

4. Kolmert L, Person BM, Herrlin K, Ekelund L: lleopectineal bursitis following total hip replacement. Acta Orthop Scand 1984; 55(1): 63-5.

5. Steinbach LS, Schneider R, Goldman AB, Kazam E, Ranawat CS, Ghelman B: Bursae and abscess cavities communicating with the hip. Diagnosis using arthrography and CT. Radiology 1985; 156(2): 303-7.

6. Berquist T, Bender CE, Maus TP, Ward EM, Rand JA: Pseudobursae: A useful finding in patients with painful hip arthroplasty. AJR 1987; 148(1): 103-6.

7. Guerra C, Domínguez-Gil I, Palacio FJ, Montero M: Mecanismos del fracaso protésico, enfermedad de las partículas, biología del fracaso protésico. En: SECOT editor. Monografías SECOT 9: Cirugía de revisión de las artroplastias de cadera. Barcelona: Masson SA; 2008: 1-17.

8. Sartoris DJ, Danzig L, Gilula L, Greenway G, Resnick D: Synovial cysts of the hip. Joint and iliopsoas bursitis: A spectrum of imaging abnormalities. Skeletal Radiol 1985; 14(2): 85-94.

9. Torisu T, Chosa H, Kitaro M: Rheumatoid synovial cyst of the hip joint. A case report. Clin Orthop 1978; 137: 191-4.

10. Leigh W, O’Grady P, Lawson EM, Hung NA, Theis JC, Matheson J: Pelvic pseudotumor: an unusual presentation of an extra-articular granuloma in a well-fixed total hip arthroplasty. J Arthroplasty 2008; 23(6): 934-8.

11. Fokter SK, Repse-Fokter A, Takac I: Case report: femoral neuropathy secondary to total hip arthroplasty wear debris. Clin Orthop Relat Res 2009; 467(11): 3032-5.

12. Van Mourik JBA, Josaputra HA, Axler A: Giant synovial cyst causing deep venous thrombosis: brief report. J Bone Joint Surg 1988; 70B: 841.

13. Goyal S, Moss M, Breusch S: Venous outflow obstruction 8 years following ring total hip arthroplasty. A rare complication of acetabular loosening and polyethylene wear. Acta Orthop Scand 1997; 68(l): 67-9.

14. Regis D, Sandri A, Costa A, Bartolozzi P, Mazzilli G. Recurrent femoral deep vein thrombosis: rare complication of a pelvic mass induced by polyethylene wear debris following total hip arthroplasty. A case report. Thromb Res 2008; 121(4): 593-5.

15. Wunderbaldinger P, Bremer C, Sschellenberger E, Cejna M, Turetschek K, Kainberger F: Imaging features of iliopsoas bursitis. Eur Radiol 2002; 12(2): 409-15.

16. Penkeva RR: Iliopsoas bursitis demonstrated by computed tomography. AJR 1980; 135(1): 175-6.

17. Peters JC, Coleman BG, Turner ML, Arger PH, Mulhern CV, Dalinka MK, Allan DA, Schumacher HR: CT evaluation of enlarged iliopsoas bursa. AJR 1980; 135(2): 392-4.

18. Levy RN, Hermann G, Haimov M, Sherry HS, Train JS, Davison S: Rheumatoid synovial cysts of the hip. Arthritis Rheum 1982; 25(11): 1382-4.

19. Steinback LS, Schneider R, Goldman AB, Kazam E, Ranawat CS, Ghelman B: Bursae and abscess cavities communicating with the hip. Radiology 1985; 156(2): 303-7.