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Major bleeding after drainage lancet vascular injury in total hip arthroplasty

M Buttaro1, M Robledo Dobladez, F Piccaluga

  • 1Institute of Orthopaedics "Carlos E. Ottolenghi", Hospital Italiano de Buenos Aires Argentina.

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
|March 2, 2017
PubMed

We report a patient who presented with acute hypovolemic shock due to massive bleeding through the suction drainage lancet holes three days after a total hip arthroplasty. Emergency digital arteriography revealed active bleeding of a perforating muscular branch of the profunda femoris artery located at the level of the lancet holes. Selective embolization with a microcatheter controlled the haemorrhage and avoided further surgical exploration, which could have demonstrated no active bleeding from the hip or pelvis. (Hip International 2004; 14: 44-7).

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