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Related Experiment Videos

Vesico-acetabular fistula

B M Tripp1, M Tanzer, M P Laplante

  • 1Division of Urology, McGill University, Montreal General Hospital, Quebec, Canada.

The Journal of Urology
|June 1, 1995
PubMed
Summary
This summary is machine-generated.

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This is the first reported case of a prosthetic vesico-acetabular fistula, a rare complication occurring 12 years after total hip arthroplasty. The study details its causes, symptoms, diagnosis, and treatment.

Area of Science:

  • Urology
  • Orthopedic Surgery
  • Medical Device Complications

Background:

  • Total hip arthroplasty (THA) is a common orthopedic procedure.
  • Prosthetic joint infections and fistulas are known complications, but rare.
  • Vesico-acetabular fistulas are exceptionally uncommon, especially isolated prosthetic types.

Observation:

  • A patient presented with symptoms suggestive of a urinary tract issue.
  • Imaging revealed an unusual connection between the urinary bladder and the acetabulum.
  • This fistula was directly associated with a prosthetic hip implant.

Findings:

  • The case represents the first documented instance of an isolated prosthetic vesico-acetabular fistula.
  • The fistula developed 12 years post-THA, highlighting a late complication.

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  • Etiology, clinical presentation, diagnostic approaches, and management strategies were analyzed.

    • Implications:

    • This case expands the spectrum of known complications following total hip arthroplasty.
    • It underscores the importance of considering rare fistulous pathways in patients with prior hip implants and urological symptoms.
    • Further research may be needed to understand the specific mechanisms and long-term outcomes of such rare fistulas.