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

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

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.

Figures and Tables

Fig. 1
A photograph showing the swelling of the left leg.
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Fig. 2
Both hip anteroposterior radiograph demonstrating severe wear or disassembly of the acetabular polyethylene liner of the left hip.
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Fig. 3
Color Doppler ultrasonogram demonstrating a thrombus of the superficial femoral vein, measuring 2.4×1.2 cm.
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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.
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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.
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