Extravascular Compression of the Femoral Vein Due to Wear Debris–Induced Iliopsoas Bursitis

Autor: Nadir Sener, Remzi Tozun, Burak Beksaç, Alejandro Gonzalez Della Valle, Selcuk Baktiroglu
Rok vydání: 2007
Předmět:
Zdroj: The Journal of Arthroplasty. 22:453-456
ISSN: 0883-5403
DOI: 10.1016/j.arth.2006.04.002
Popis: We present a patient with unilateral, spontaneous, late leg swelling that developed 4 years after total hip arthroplasty. The etiology was the compression of the internal iliac vein by a voluminous iliopsoas bursitis caused by polyethylene debris. The expansive lesion was detected by ultrasound, arthrography, and magnetic resonance imaging. An ultrasound-guided aspiration provided transient relief of the patient's symptoms. The patient later required surgical excision through an abdominal approach. A second recurrence was detected and treated with revision surgery. We present the diagnosis and the treatment of this rare cause of late, unilateral leg swelling after total hip arthroplasty together with a review of the literature.
Databáze: OpenAIRE