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.
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
Alexandre H
AH
Nehme
Jihad F
JF
Matta
Nadim M
NM
Moufarrej
Fouad C
FC
Jabbour
Ramzi C
RC
Moucharafieh
Michel A
MA
Feghaly
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