Intrafat Sequestration of Artemisinin Disguised as a Purulent Collection during a Posterolateral Hip Approach

The posterolateral hip approach is the oldest and most used way to implant total hip arthroplasty. The anterior part of the oblique portion of this posterolateral approach corresponds more or less to the superolateral quadrant of the buttock in which the intramuscular injection of various drugs, inc...

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Main Authors: Atchi Walla, Batomayena Bakoma, Pilakimwé Egbohou
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/6984875
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author Atchi Walla
Batomayena Bakoma
Pilakimwé Egbohou
author_facet Atchi Walla
Batomayena Bakoma
Pilakimwé Egbohou
author_sort Atchi Walla
collection DOAJ
description The posterolateral hip approach is the oldest and most used way to implant total hip arthroplasty. The anterior part of the oblique portion of this posterolateral approach corresponds more or less to the superolateral quadrant of the buttock in which the intramuscular injection of various drugs, including the compounds derived from artemisinin, is carried out. Thus, in a malarial endemic area where gluteal injections of the compounds derived from artemisinin are not rare, poor performance of an injection by the deposition of the product in the fat and not deeply in the muscle can be at the origin of the sequestration of the drug in adipose tissue and give the macroscopic appearance of a pus. The authors present a case of intrafat sequestration of artemisinin taken for purulent collection during a posterolateral hip approach for total hip arthroplasty.
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spelling doaj-art-245279dafdcd4994b080afaeee30917f2025-08-20T02:04:41ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/69848756984875Intrafat Sequestration of Artemisinin Disguised as a Purulent Collection during a Posterolateral Hip ApproachAtchi Walla0Batomayena Bakoma1Pilakimwé Egbohou2Department of Orthopaedics, Campus Medical Teaching Hospital, Lomé, TogoMedical School, University of Lomé, TogoDepartment of Anesthesia, Sylvanus Olympio Teaching Hospital, Lomé, TogoThe posterolateral hip approach is the oldest and most used way to implant total hip arthroplasty. The anterior part of the oblique portion of this posterolateral approach corresponds more or less to the superolateral quadrant of the buttock in which the intramuscular injection of various drugs, including the compounds derived from artemisinin, is carried out. Thus, in a malarial endemic area where gluteal injections of the compounds derived from artemisinin are not rare, poor performance of an injection by the deposition of the product in the fat and not deeply in the muscle can be at the origin of the sequestration of the drug in adipose tissue and give the macroscopic appearance of a pus. The authors present a case of intrafat sequestration of artemisinin taken for purulent collection during a posterolateral hip approach for total hip arthroplasty.http://dx.doi.org/10.1155/2019/6984875
spellingShingle Atchi Walla
Batomayena Bakoma
Pilakimwé Egbohou
Intrafat Sequestration of Artemisinin Disguised as a Purulent Collection during a Posterolateral Hip Approach
Case Reports in Orthopedics
title Intrafat Sequestration of Artemisinin Disguised as a Purulent Collection during a Posterolateral Hip Approach
title_full Intrafat Sequestration of Artemisinin Disguised as a Purulent Collection during a Posterolateral Hip Approach
title_fullStr Intrafat Sequestration of Artemisinin Disguised as a Purulent Collection during a Posterolateral Hip Approach
title_full_unstemmed Intrafat Sequestration of Artemisinin Disguised as a Purulent Collection during a Posterolateral Hip Approach
title_short Intrafat Sequestration of Artemisinin Disguised as a Purulent Collection during a Posterolateral Hip Approach
title_sort intrafat sequestration of artemisinin disguised as a purulent collection during a posterolateral hip approach
url http://dx.doi.org/10.1155/2019/6984875
work_keys_str_mv AT atchiwalla intrafatsequestrationofartemisinindisguisedasapurulentcollectionduringaposterolateralhipapproach
AT batomayenabakoma intrafatsequestrationofartemisinindisguisedasapurulentcollectionduringaposterolateralhipapproach
AT pilakimweegbohou intrafatsequestrationofartemisinindisguisedasapurulentcollectionduringaposterolateralhipapproach