search for




 

External iliac vein injury during total hip arthroplasty: a case report
Med Biol Sci Eng 2019;2(1):26-30
Published online January 31, 2019
© 2019 Medical Biological Science and Engineering.

Ji Hyo Kim*, Ji Hyun Kim*, Hyeon Jun Lee, Yehun Jin, Seong Wook Hong

Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, Daegu, Korea
Correspondence to: Seong Wook Hong
Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, 130 Dongdeokro, Jung-gu, Daegu 41944, Korea
Tel: +82-53-420-5872 Fax: +82-53-426-2760 E-mail: hsuaa@naver.com
ORCID: http://orcid.org/0000-0002-4849-4738
*Ji Hyo Kim and Ji Hyun Kim contributed equally to this work and also co-first authors.
Received August 1, 2018; Revised August 9, 2018; Accepted August 10, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Vascular injuries during total hip arthroplasty (THA) are rare, but they could be life threatening when they occurs. Therefore, early diagnosis and appropriate management should be required to reduce the rate of morbidity and mortality of the patient. In case of external iliac vein (EIV) injury, it could be more difficult to be noticed because of its slow onset, which could result in catastrophic, delayed hemorrhagic shock. Although EIV injury during THA is uncommon and has not been emphasized enough in anesthetic field, subsequence could be fatal. Herein, we report a case of EIV injury occurred by a drill tip passing through the acetabulum during THA. The patient showed an abrupt hemodynamic collapse without visual evidence of massive bleeding. Cardiopulmonary resuscitation was even required before detection and repair of EIV.
Keywords : Iliac vein injury; Total hip replacement; Hypovolemia; Shock
References
  1. Shoenfeld NA, Stuchin SA, Pearl R, Haveson S. The management of vascular injuries associated with total hip arthroplasty. J Vasc Surg 1990;11:549-55.
    CrossRef
  2. Müdüroğlu A, Kayhan TO, Yüksel A. Iliac vein injury during total hip replacement: a rare iatrogenic complication and its successful surgical treatment. Int J Vasc Surg Med 2017;3:335.
  3. Bergqvist D, Carlsson AS, Ericsson BF. Vascular complications after total hip arthroplasty. Acta Orthop Scand 1983;54:15763.
    CrossRef
  4. Doi S, Motoyama Y, Itoh H. External iliac vein injury during total hip arthroplasty resulting in delayed shock. Br J Anaesth 2005;94:866.
    Pubmed CrossRef
  5. Lee KW, Jo YH, Yi JW. Threatening external iliac vein injury during total hip arthroplasty. J Kyung Hee Univ Med Cent 2011;27:60-4.
  6. Keating EM, Ritter MA, Faris PM. Structures at risk from medially placed acetabular screws. J Bone Joint Surg Am 1990;72:509-11.
    Pubmed CrossRef
  7. Wasielewski RC, Galat DD, Sheridan KC, Rubash HE. Acetabular anatomy and transacetabular screw fixation at the high hip center. Clin Orthop Relat Res 2005;438:171-6.
    Pubmed CrossRef
  8. Parvizi J, Mui A, Purtill JJ, Sharkey PF, Hozack WJ, Rothman RH. Total joint arthroplasty: When do fatal or near-fatal complications occur? J Bone Joint Surg Am 2007;89:27-32.
    Pubmed
  9. Aust JC, Bredenberg CE, Murray DG. Mechanisms of arterial injuries associated with total hip replacement. Arch Surg 1981;116:345-9.
    Pubmed CrossRef
  10. Wasielewski RC, Cooperstein LA, Kruger MP, Rubash HE. Acetabular anatomy and the transacetabular fixation of screws in total hip arthroplasty. J Bone Joint Surg Am 1990;72:5018.
    CrossRef
  11. Hwang SK. Vascular injury during total hip arthroplasty: the anatomy of the acetabulum. Int Orthop 1994;18:29-31.
    Pubmed CrossRef
  12. Wang Y, Chang H, Wang W, Wang W, Liu B, Li Z, et al. Delayed retroperitoneal arterial hemorrhage after inferior vena cava filter deployment: a case report. Medicine (Baltimore) 2018;97:e9618.
    Pubmed KoreaMed CrossRef
  13. Rana MA, Mady AF, Jakaraddi N, Mumtaz SA, Ahmad H, Naser K. Not all acute abdomen cases in early pregnancy are ectopic; expect the unexpected: renal angiomyolipoma causing massive retroperitoneal haemorrhage. Case Rep Crit Care 2016;2016:5643470.
    CrossRef


January 2019, 2 (1)
Full Text(PDF) Free

Social Network Service
Services

Cited By Articles
  • CrossRef (0)
  • Crossref
  • Google Scholar
  • ORCID