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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:
*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 ( which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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
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