Fistula between a total hip arthroplasty and the rectum: a case report.
An 81-year-old man was referred to the authors for examination of the gastrointestinal tract. A proctoscopy revealed a draining sinus tract in the terminal rectum. Plain radiographs revealed a failed total hip arthroplasty that had migrated into the pelvis. Hip aspiration revealed an infection with bacteria commonly found in the gastrointestinal tract. A fistulogram confirmed a connection between the rectum and the hip replacement. The development of a fistula between the colon and the hip is extremely uncommon. A fistula between the hip and the rectum is a previously unreported complication of total hip arthroplasty.
Bach
C M
CM
Department of Orthopedic Surgery, University of Innsbruck, Austria.
Nogler
M
M
Wimmer
C
C
Stoeckel
B
B
Ogon
M
M
D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000150:complications*; D012003:Rectal Fistula / Q000209:etiology*; D013997:Time Factors