Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida
We present a bleeding, infected (mycotic) pseudoaneurysm from the organism Pasteurella multocida. The patient presented septic from an infected total hip arthroplasty and was treated with surgical debridement, component retention, and antibiotics. She re-presented with hip pain and a marked hemoglob...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344120301187 |
| _version_ | 1818281721307594752 |
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| author | Cory D. Smith, MD Michael S. Sridhar, MD |
| author_facet | Cory D. Smith, MD Michael S. Sridhar, MD |
| author_sort | Cory D. Smith, MD |
| collection | DOAJ |
| description | We present a bleeding, infected (mycotic) pseudoaneurysm from the organism Pasteurella multocida. The patient presented septic from an infected total hip arthroplasty and was treated with surgical debridement, component retention, and antibiotics. She re-presented with hip pain and a marked hemoglobin decrease. Vascular studies revealed a pseudoaneurysm of the external iliac artery and large hematoma secondary to contiguous spread of her hip infection. The pseudoaneurysm was treated with an endovascular stent before further debridement surgery to avoid exsanguinating hemorrhage with surgical release of her tamponade. This case demonstrates the utmost importance of recognizing and treating vascular pathology in a patient with an infected prosthetic hip, large hematoma, and decreased hemoglobin. |
| first_indexed | 2024-12-13T00:09:37Z |
| format | Article |
| id | doaj.art-2971d73ecc1d40ff94bb2309a3e91d8f |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-12-13T00:09:37Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-2971d73ecc1d40ff94bb2309a3e91d8f2022-12-22T00:06:02ZengElsevierArthroplasty Today2352-34412020-09-0163560565Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocidaCory D. Smith, MD0Michael S. Sridhar, MD1Department of Orthopedic Surgery, Prisma Health − Upstate, Greenville, SC, USACorresponding author. 701 Grove Road, Greenville, SC 29605, USA. Tel.: +1 864-455-7878.; Department of Orthopedic Surgery, Prisma Health − Upstate, Greenville, SC, USAWe present a bleeding, infected (mycotic) pseudoaneurysm from the organism Pasteurella multocida. The patient presented septic from an infected total hip arthroplasty and was treated with surgical debridement, component retention, and antibiotics. She re-presented with hip pain and a marked hemoglobin decrease. Vascular studies revealed a pseudoaneurysm of the external iliac artery and large hematoma secondary to contiguous spread of her hip infection. The pseudoaneurysm was treated with an endovascular stent before further debridement surgery to avoid exsanguinating hemorrhage with surgical release of her tamponade. This case demonstrates the utmost importance of recognizing and treating vascular pathology in a patient with an infected prosthetic hip, large hematoma, and decreased hemoglobin.http://www.sciencedirect.com/science/article/pii/S2352344120301187Hip arthroplastyInfectionPasteurellaPseudoaneurysmVascular complicationExternal iliac pseudoaneurysm |
| spellingShingle | Cory D. Smith, MD Michael S. Sridhar, MD Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida Arthroplasty Today Hip arthroplasty Infection Pasteurella Pseudoaneurysm Vascular complication External iliac pseudoaneurysm |
| title | Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida |
| title_full | Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida |
| title_fullStr | Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida |
| title_full_unstemmed | Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida |
| title_short | Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida |
| title_sort | life threatening bleeding pseudoaneurysm of the external iliac artery in the setting of an infected total hip arthroplasty from pasteurella multocida |
| topic | Hip arthroplasty Infection Pasteurella Pseudoaneurysm Vascular complication External iliac pseudoaneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2352344120301187 |
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