Ruptured Pseudoaneurysm of Branch of Profunda Femoral Artery during Revision Total Hip Arthroplasty: a Case Report
Journal Title: Vajira Medical Journal: Journal of Urban Medicine - Year 2023, Vol 67, Issue 4
Abstract
A ruptured pseudoaneurysm is a rare but potentially fatal complication during revision total hip arthroplasty. We report a case of a 46-year-old female with a rupture of a pseudoaneurysm at the branch of the left profunda femoral artery during revision total hip arthroplasty. The patient presented with dislocation of the left total hip arthroplasty, which failed closed reduction. During the revision surgery, a massive pulsatile bleeding occurred, which required an emergent vascular surgeon consultation to repair the ruptured pseudoaneurysm. It was later confirmed to be located at the branch of the left profunda femoral artery. Although rare, we recommend performing pre-operative CT angiography and consulting with a vascular surgeon before attempting revision total hip arthroplasty in patients with atypical symptoms, such as unusual thigh swelling and unexplained anemia.
Authors and Affiliations
Pichayut Wattanapreechanon Natthapong Hongku
The Prevalence, Types, and Risk Factors of Chronic Heart Failure (CHF) in End-Stage Kidney Disease Patients with Symptomatic CHF
OBJECTIVE: The objective of this study was to investigate the prevalence, types, and risk factors of chronic heart failure in Thai patients with end-stage kidney disease (ESKD). METHODS: In this retrospective study, the...
Happiness and Associated Factors of First to Sixth - Year Medical Students at Faculty of Medicine Vajira Hospital
Objective: To study level of happiness and associated factors of first to sixth – year medical students at Faculty of Medicine Vajira Hospital. Methods: A cross – sectional descriptive study was conducted on first to si...
Ten-Year Review of Outcomes after Surgery, Radiation, or Active Surveillance for Localized Prostate Cancer
Objective: Prostate cancer is the second most common male cancer worldwide and the fifth leading cause of death in Thailand. This research aimed to evaluate the overall survival and disease-free survival of patients with...
A 5-Year-Retrospective Review: The Clinical Outcome between Adequate and Inadequate of Initial Antibiotics Treatment in Pediatric Patients, Vajira Hospital
OBJECTIVE: The results of adequate and inadequate empirical antibiotics remain unclear. This study aimed to evaluate the results of using adequate and inadequate empirical antibiotics. METHODS: A retrospective cohort an...
Melatonin Niosome Gel vs. Chloral Hydrate for Sedation in Children Undergoing Auditory Brainstem Response: a Randomized Controlled Trial
OBJECTIVE: To compare the success rate of auditory brainstem response (ABR) testing after the application of melatonin niosome gel (MNG) versus chloral hydrate in children aged 1 to 6 years. METHODS: A double-blinded, r...