Intrapelvic Granulomatous Mass Causing Ipsilateral Lower Leg Swelling following Total Hip Arthroplasty - A Case Report -

Choon Key Lee; Jung Sub Lee; Kuen Tak Suh

doi:10.4055/jkoa.2008.43.1.107

Journal List > J Korean Orthop Assoc > v.43(1) > 1012749

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Lee, Lee, and Suh: Intrapelvic Granulomatous Mass Causing Ipsilateral Lower Leg Swelling following Total Hip Arthroplasty - A Case Report -

Case Report

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2008; 43(1): 107-111.

Published online: 29 February 2008

DOI: https://doi.org/10.4055/jkoa.2008.43.1.107

Intrapelvic Granulomatous Mass Causing Ipsilateral Lower Leg Swelling following Total Hip Arthroplasty - A Case Report -

Choon Key Lee, M.D., Jung Sub Lee, M.D.^*, Kuen Tak Suh, M.D.^*

Department of Orthopaedic Surgery, Good Samsun Hospital, Korea.

^*Department of Orthopaedic Surgery, Pusan National University School of Medicine, Busan, Korea.

Address reprint requests to Kuen Tak Suh, M.D. Department of Orthopaedic Surgery, Pusan National University School of Medicine, 10, Ami-dong 1-ga, Seo-gu, Busan 602-739, Korea. Tel: +82.51-240-7245, Fax: +82.51-247-8395, kuentak@pusan.ac.kr

Abstract

The usual causes of unilateral lower extremity swelling after total hip arthroplasty include deep vein thrombosis, chronic venous insufficiency and less frequently an infection or a neoplasm. Unilateral deep vein thrombosis or swelling of the lower extremity due to an intrapelvic granulomatous mass after total hip arthroplasty is quite unusual. We report a rare case of a patient with an intrapelvic granulomatous mass causing deep vein thrombosis and unilateral lower leg swelling after total hip arthroplasty with a review of the relevant literature.

Keywords: Total hip arthroplasty, Lower leg swelling, Deep vein thrombosis, Granulomatous mass

Figures and Tables

Fig. 1

A photograph showing the swelling of the left leg.

Fig. 2

Both hip anteroposterior radiograph demonstrating severe wear or disassembly of the acetabular polyethylene liner of the left hip.

Fig. 3

Color Doppler ultrasonogram demonstrating a thrombus of the superficial femoral vein, measuring 2.4×1.2 cm.

Fig. 4

Computed tomography scan of the pelvis showing a 10×10×12 cm sized large cyst, compressing the iliopsoas muscle, external iliac vein (arrow head) and bladder.

Fig. 5

(A) A photograph of the inner surface of the mass, showing metallosis between the prosthetic head and acetabular cup. (B) Polarized light microscopy demonstrating birefringent material indicative of polyethylene wear debris.

References

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