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Intracolonic Migration of a Dislocated Acetabular Cup Prosthesis.

Jack R Lubka1,2,3, Cyrus Tamboli1,3,4, Philip Brunetti3,5

  • 1University of South Florida Morsani College of Medicine, Tampa, Florida.

HCA Healthcare Journal of Medicine
|May 19, 2025
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Summary

A rare hip replacement complication, acetabular cup migration, occurred without fistula formation. This case details a prosthetic acetabular cup migrating entirely into the colon, a unique presentation without significant hip injury or bowel perforation.

Keywords:
acetabular cup migrationforeign-body migrationhip prosthesiship replacement arthroplastyprosthesis failure

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Area of Science:

  • Orthopedic Surgery
  • Gastrointestinal Surgery
  • Medical Imaging

Background:

  • Acetabular cup migration is a rare complication following hip replacement surgery.
  • Prosthetic migration into the colon, often forming a coloarticular fistula, has been reported.
  • This case presents a unique instance of complete intracolonic migration without fistula formation.

Observation:

  • A 53-year-old female presented with abdominal pain and rectal bleeding post-hip replacement.
  • CT imaging confirmed the acetabular cup had migrated into the colon.
  • The patient underwent successful retrieval of the acetabular component via colonoscopy and surgery.

Findings:

  • The acetabular cup migrated into the colon without creating a fistula.
  • No significant hip joint injury or bowel perforation was noted.
  • This represents the first documented case of complete intracolonic migration of an acetabular prosthesis without associated complications.

Implications:

  • Highlights the potential for unusual migration patterns of orthopedic implants.
  • Emphasizes the importance of thorough diagnostic imaging in unexplained abdominal symptoms post-hip replacement.
  • Suggests the need for further investigation into the mechanisms of implant migration without fistula formation.