title: Vesicoacetabular fistula in a chronically infected total hip arthroplasty.
abstract: Fistula formation between the bladder and acetabulum related to total hip arthroplasty (THA) is rare, and few cases have been documented. Common features of the reported cases include a defect in the medial wall of the acetabulum, a chronically infected THA, a history of bladder injury, vesicocutaneous fistulas, and a history of pelvis radiation exposure. We report the case of a vesicoacetabular fistula discovered during antibiotic spacer placement in a woman with a chronically infected THA. The patient received bilateral ureteral stents extending from the renal pelvis to the urethra. Three months later, the patient was free of infection and was able to undergo reimplantation arthroplasty.
authors.affiliation: Baylor College of Medicine, Houston, Texas, USA.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Russell
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Incavo
authors.forename: Michael T
authors.initials: MT
authors.lastname: Mineo
authors.forename: Tue
authors.initials: T
authors.lastname: Dinh
mesh_terms: D000077:Acetabulum / Q000601:surgery; D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001847:Bone Diseases / Q000209:etiology* / Q000601:surgery; D002908:Chronic Disease; D005260:Female; D006621:Hip Joint; D006801:Humans; D007592:Joint Diseases / Q000601:surgery; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000382:microbiology; D012086:Reoperation; D001743:Urinary Bladder / Q000293:injuries; D001747:Urinary Bladder Fistula / Q000209:etiology* / Q000601:surgery