Vesicoacetabular fistula in a chronically infected total hip arthroplasty.

Authors:
Robert D Russell
Robert D Russell
University of Texas Southwestern Medical Center
Dallas | United States
Stephen J Incavo
Stephen J Incavo
Houston Methodist Hospital
Houston | United States
Michael T Mineo
Michael T Mineo
United States

J Arthroplasty 2010 Jun 2;25(4):659.e9-12. Epub 2009 Jun 2.

Baylor College of Medicine, Houston, Texas, USA.

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.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arth.2009.04.017DOI Listing

Still can't find the full text of the article?

We can help you send a request to the authors directly.
June 2010
6 Reads
2.670 Impact Factor

Publication Analysis

Top Keywords

chronically infected
12
total hip
8
infected tha
8
hip arthroplasty
8
vesicoacetabular fistula
8
bladder injury
4
injury vesicocutaneous
4
fistulas history
4
pelvis radiation
4
urethra three
4
history pelvis
4
three months
4
vesicocutaneous fistulas
4
tha history
4
bilateral ureteral
4
defect medial
4
medial wall
4
wall acetabulum
4
radiation exposure
4
acetabulum chronically
4

Similar Publications