Pelvic Mass 21 Years after Total Hip Arthroplasty. (18th June 2013)

• Record Type: Journal Article
• Authors: Miller, Joe; Tarter, Thomas H.
• Other Names: Chesson R. Academic Editor.; Sheikh M. Academic Editor.; Solivetti F. M. Academic Editor.
• Is Part Of: Case reports in urology. Volume 2013(2013)
• Publication Date: 2013-06-18
• Subjects: Urology -- Periodicals; Urology -- Case studies -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urologic Diseases; Genitourinary organs -- Diseases; Urology; Periodicals; Case studies; Periodicals; 616.6005
• DOI: 10.1155/2013/424319
• Languages: English
• ISSNs: 2090-696X

Abstract

Abstract : Background . Long-term urologic complications after total hip arthroplasty are rare, and reports in the urologic literature are scant. We present a recent case and review the relevant literature. Case . A 77-year-old man was referred to the urology clinic for a single episode of gross painless hematuria, abnormal urine cytology, and pelvic mass. He had a significant smoking history. Surgical history included right total hip arthroplasty 21 years prior. Results . Pelvic ultrasound revealed a large mass abutting the right bladder wall. Subsequent computed tomography indicated that the mass was extrinsic to the bladder. Results of computed tomography-guided biopsy of the mass were consistent with foreign body granuloma. Surveillance imaging confirmed no growth or progression, and intervention was deferred. Conclusion . Long-term complications of total hip arthroplasty may present with signs and symptoms of urologic disease. Reports in the urologic literature are rare.