title: Internal iliac artery pseudoaneurysm in primary total hip arthroplasty.
abstract: Vascular injury is one of the rare complications of primary total hip arthroplasty (THA). We report an unusual case of lobulated pseudoaneurysm arising from one of the branches of the left internal iliac artery during acetabulum preparation in THA, which was successfully treated with coil embolization and multidisciplinary care. After 6 years follow up, patient did not have any symptoms related to the hip replacement. We recommend that surgeons should be extremely cautious while drilling medial wall of the acetabulum for depth assessment. Aggressive multidisciplinary approach, including possible support from an interventional radiologist is required for the treatment of such vascular injuries.
authors.affiliation: Department of Orthopedics, P. D. Hinduja National Hospital and MRC, Mahim, Mumbai, Maharashtra, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Agarwala
authors.affiliation: Department of Orthopedics, P. D. Hinduja National Hospital and MRC, Mahim, Mumbai, Maharashtra, India.
authors.forename: Ganesh
authors.initials: G
authors.lastname: Mohrir
authors.affiliation: Department of Orthopedics, P. D. Hinduja National Hospital and MRC, Mahim, Mumbai, Maharashtra, India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Moonot
keywords: Acetabulum; Arthroplasty; aneurysm; hip; pseudoaneurysm; replacement; total hip arthroplasty; vascular injury