Bladder injury during infected tola hip arthroplasty prosthesis removal: Report of a case and review of the literature

The bladder is the most frequently injured organ during pelvic surgery. However, during hip surgery, this complication is extremely rare. We report a case of bladder injury during total hip arthroplasty prosthesis removal surgery. A 65-year-old male was admitted to our hospital with left hip pain and wound infection. On plain radiograms, acetabular protrusion was identified. We decided to remove protruzed acetabular cup and place spacer. During the operation, unexpectedly bladder injury occurred. The rupture was sutured intraoperatively. We left a catheter in the bladder after internal urethrotomy to drain the urine. Keywords : Arthroplasty, Bladder injury, Cystogram, Hip prosthesis removal, Infection

[1]  J. Grauer,et al.  Bladder tear during revision total hip arthroplasty. , 2014, American journal of orthopedics.

[2]  H. Migaud,et al.  Total hip arthroplasty revision in case of intra-pelvic cup migration: designing a surgical strategy. , 2011, Orthopaedics & traumatology, surgery & research : OTSR.

[3]  J. Stiehl.  Acetabular prosthetic protrusion and sepsis: case report and review of the literature. , 2007, The Journal of arthroplasty.

[4]  M. Fessy,et al.  Acetabular anatomy and the relationship with pelvic vascular structures implications in hip surgery , 1997, Surgical and Radiologic Anatomy.

[5]  H. Luu,et al.  Hip-vagina fistula after acetabular revision. , 2003, The Journal of arthroplasty.

[6]  J. Mayer,et al.  Anatomical study of the blood supply of the coxal bone: radiological and clinical application , 2002, Surgical and Radiologic Anatomy.

[7]  C. Bach,et al.  Fistula Between a Total Hip Arthroplasty and the Rectum: A Case Report , 2001, Clinical orthopaedics and related research.

[8]  J. C. Kinmont.  Penetrating bladder injury caused by a medially placed acetabular screw. , 1999, Journal of the Southern Orthopaedic Association.

[9]  R. Evans,et al.  Intrapelvic extraction of a total hip prosthesis. A case report. , 1992, Clinical orthopaedics and related research.

[10]  J. Callaghan,et al.  The relationship of the intrapelvic vasculature to the acetabulum. Implications in screw-fixation acetabular components. , 1990, Clinical orthopaedics and related research.

[11]  M. Luxenberg,et al.  Management of extraperitoneal ruptures of bladder caused by external trauma. , 1989, Urology.

[12]  J. Corriere,et al.  Mechanisms of injury, patterns of extravasation and management of extraperitoneal bladder rupture due to blunt trauma. , 1988, The Journal of urology.

[13]  M. Luxenberg,et al.  Features of 164 bladder ruptures. , 1987, The Journal of urology.

[14]  P. Carroll,et al.  Major bladder trauma: mechanisms of injury and a unified method of diagnosis and repair. , 1984, The Journal of urology.