False aneurysm of the external iliac artery caused by aseptic loosening and migration of a cemented cup.
A 79 year old woman with bilateral hip replacements presented with severe left thigh swelling, and life threatening hypovolemic shock. After adequate resuscitation, an angio CT scan of her pelvis showed a false aneurysm of the external iliac artery in proximity to a loose pegged cemented cup. A pelvic X-ray 6 years prior to presentation had revealed a medialized high riding pegged cemented cup with a loose cemented stem. Vascular reconstruction followed by revision of the left THA was necessary.
Nehme
Alexandre H
AH
Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O. Box 166378 Achrafieh, Beirut, 1100 2807, Lebanon. ahnehme@gmail.com
Matta
Jihad F
JF
Moufarrej
Nadim M
NM
Jabbour
Fouad C
FC
Moucharafieh
Ramzi C
RC
Feghaly
Michel A
MA
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology*; D001843:Bone Cements; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D006622:Hip Prosthesis; D006801:Humans; D007083:Iliac Artery; D011475:Prosthesis Failure
D001843:Bone Cements