Pelvic Mass 21 Years after Total Hip Arthroplasty

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 hematur...

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Main Authors: Joe Miller, Thomas H. Tarter
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2013/424319
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author Joe Miller
Thomas H. Tarter
author_facet Joe Miller
Thomas H. Tarter
author_sort Joe Miller
collection DOAJ
description 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.
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spelling doaj-art-bef6130d04774850bac1e0ae0ac3d6792025-02-03T01:02:40ZengWileyCase Reports in Urology2090-696X2090-69782013-01-01201310.1155/2013/424319424319Pelvic Mass 21 Years after Total Hip ArthroplastyJoe Miller0Thomas H. Tarter1Department of Urology, University of California San Francisco, San Francisco, CA, USACancer Care Center of Decatur, Decatur, IL, USABackground. 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.http://dx.doi.org/10.1155/2013/424319
spellingShingle Joe Miller
Thomas H. Tarter
Pelvic Mass 21 Years after Total Hip Arthroplasty
Case Reports in Urology
title Pelvic Mass 21 Years after Total Hip Arthroplasty
title_full Pelvic Mass 21 Years after Total Hip Arthroplasty
title_fullStr Pelvic Mass 21 Years after Total Hip Arthroplasty
title_full_unstemmed Pelvic Mass 21 Years after Total Hip Arthroplasty
title_short Pelvic Mass 21 Years after Total Hip Arthroplasty
title_sort pelvic mass 21 years after total hip arthroplasty
url http://dx.doi.org/10.1155/2013/424319
work_keys_str_mv AT joemiller pelvicmass21yearsaftertotalhiparthroplasty
AT thomashtarter pelvicmass21yearsaftertotalhiparthroplasty