Vesicoacetabular fistula in a chronically infected total hip arthroplasty

Robert D. Russell, Stephen J. Incavo, Michael T. Mineo, Tue A. Dinh

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Fistula formation between the bladder and acetabulum related to total hip arthroplasty (THA) is rare, and few cases have been documented. Common features of the reported cases include a defect in the medial wall of the acetabulum, a chronically infected THA, a history of bladder injury, vesicocutaneous fistulas, and a history of pelvis radiation exposure. We report the case of a vesicoacetabular fistula discovered during antibiotic spacer placement in a woman with a chronically infected THA. The patient received bilateral ureteral stents extending from the renal pelvis to the urethra. Three months later, the patient was free of infection and was able to undergo reimplantation arthroplasty.

Original languageEnglish (US)
Pages (from-to)659.e9-659.e12
JournalJournal of Arthroplasty
Volume25
Issue number4
DOIs
StatePublished - Jan 1 2010

Keywords

  • Acetabulum
  • Bladder
  • Fistula
  • Infection
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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