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[Vesico-acetabular fistula following prosthesis migration].
E de la Peña Zarzuelo1, I Fuentes Marques, A Silmi Moyano
1Servicio y Cátedra de Urología, Hospital Clínico San Carlos, Universidad Complutense, Madrid.
Actas Urologicas Espanolas
|February 18, 2004
Summary
A rare vesico-acetabular fistula occurred 14 years after hip replacement due to acetabulum displacement. This exceptional complication involves the prosthesis migrating into the bladder.
Area of Science:
- Urology
- Orthopedic Surgery
- Medical Device Complications
Background:
- Hip replacement surgery is a common procedure for hip joint issues.
- Prosthetic joint infections and dislocations are known complications.
- Long-term complications following hip arthroplasty require ongoing surveillance.
Observation:
- A patient developed a vesico-acetabular fistula 14 years post-hip replacement.
- The fistula resulted from acetabular component displacement towards the bladder.
- This specific type of prosthesis migration is not documented in existing literature.
Findings:
- The case presents an exceptionally rare complication of hip arthroplasty.
- Vesico-acetabular fistula formation due to internal acetabular displacement is unprecedented.
- Delayed presentation of prosthetic complications can occur years after surgery.
Implications:
- Highlights the potential for rare, late-onset complications following hip replacement.
- Suggests the need for vigilance in monitoring patients with hip prostheses for unusual symptoms.
- Underscores the importance of reporting unique cases to expand medical knowledge on prosthetic device failures.