Onset of Chronic Expanding Hematoma 25 Years After Total Hip Arthroplasty

Chronic expanding hematoma (CEH) is a rare anatomical condition that gradually expands due to trauma or surgery. We report the case of a 56-year-old woman who developed CEH 25 years after metal-on-polyethylene total hip arthroplasty. She presented with swelling and radiating pain in the right inguin...

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Detalles Bibliográficos
Autores principales: Ogata, Yugen, Kumagai, Kosuke, Mimura, Tomohiro, Miyahara, Shunichi, Egawa, Masashi, Saito, Hideki, Amano, Yasutaka, Yayama, Takafumi, Kubo, Mitsuhiko, Imai, Shinji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10365973/
https://www.ncbi.nlm.nih.gov/pubmed/37497549
http://dx.doi.org/10.1016/j.artd.2023.101168
Descripción
Sumario:Chronic expanding hematoma (CEH) is a rare anatomical condition that gradually expands due to trauma or surgery. We report the case of a 56-year-old woman who developed CEH 25 years after metal-on-polyethylene total hip arthroplasty. She presented with swelling and radiating pain in the right inguinal region. Tocilizumab was administered for treating rheumatoid arthritis and renal amyloid A amyloidosis. Diagnostic imaging and partial resection revealed a soft tissue mass and a CEH, respectively. The symptoms recurred 6 months later; dialysis was initiated, and the CEH was resected under general anesthesia, leading to improvement. This case report emphasizes the importance of prompt diagnosis and intervention in CEH management for preventing further complications and improving the patient's quality of life.

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