Abstract
A fistula between the ureter and the acetabular space developed in a woman 69 years of age after revision surgery for a total hip arthroplasty. Symptoms were intermittent macrohematuria and swelling of the leg. The diagnosis was confirmed by arthrography and an elevated creatinine level in the aspirated fluid. After nephroureterectomy, symptoms disappeared. We conclude that the differential diagnosis of persisting unusual symptoms after total hip replacement has to include a fistula between the total hip prosthesis and urinary tract, even in the absence of open sinuses.
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References
Becht E, Podesva K, Zolfaghari I (1983) Recurrent gross haematuria: a complication of intrapelvic cement intrusion in total hip replacement. Aktuel Urol (1987) 14:150–152
Brentlinger A, Hunter JR (1987) Perforation of the external iliac artery and ureter presenting as acute hemorrhagic cystitis after total hip replacement. J Bone Joint Surg [Am] 69:620–622
Casteleyn PP, Opdecam P (1987) Perforation of the external iliac artery and ureter presenting as acute hemorragic cystitis after total hip replacement. J Bone Joint Surg [Am] 69:1304
Greenspan A, Norman A (1978) Gross hematuria: a complication of intrapelvic cement intrusion in total hip replacement. Am J Roentgenol 130:327–329
Lowell JD, Davies JAK (1975) Bladder fistula following total hip replacement using self-curing acrylic. Clin Orthop 111:131–133
Ray B, Baron TE, Bombeck CT (1979) Bladder and ureteral displacement: complication of total replacement hip arthroplasty. Urology 5:554–556
Roberts JA, Loudon JR (1987) Vesico-acetabular fistula. J Bone Joint Surg [Br] 69:150–151
Schneider HJ, Mufti GR (1993) Vesico-acetabular fistula after total hip replacement. Br J Urol 71:754
Solomon MH, MacGregor RJ (1980) Ureterocutaneous fistula following hip surgery. J Urol 124:427–428
Sulmoni A, Huggler AH, Schabert P (1973) Late urologic complications following total hip prosthesis. Z Unfallmed Berufskr 66:147–151
Videbaek PA, Sommer S (1985) Urological complications after total hip replacement. Arch Orthop Trauma Surg 104:132–134
Wheeler JS, Babayan RK, Austen G, Krane RJ (1983) Urologic complications of hip arthroplasty. Urology 5:499–503
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Schafer, D., Mattarelli, G. & Morscher, E. Ureteroarticular fistula after total hip replacement. Arch Orthop Trauma Surg 114, 35–36 (1994). https://doi.org/10.1007/BF00454733
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DOI: https://doi.org/10.1007/BF00454733