Onset of Chronic Expanding Hematoma 25 Years After Total Hip Arthroplasty

Yugen Ogata, MD; Kosuke Kumagai, MD, PhD; Tomohiro Mimura, MD, PhD; Shunichi Miyahara, MD; Masashi Egawa, MD; Hideki Saito, MD; Yasutaka Amano, MD; Takafumi Yayama, MD, PhD; Mitsuhiko Kubo, MD, PhD; Shinji Imai, MD, PhD

Arthroplasty Today (Aug 2023)

Onset of Chronic Expanding Hematoma 25 Years After Total Hip Arthroplasty

Yugen Ogata, MD,
Kosuke Kumagai, MD, PhD,
Tomohiro Mimura, MD, PhD,
Shunichi Miyahara, MD,
Masashi Egawa, MD,
Hideki Saito, MD,
Yasutaka Amano, MD,
Takafumi Yayama, MD, PhD,
Mitsuhiko Kubo, MD, PhD,
Shinji Imai, MD, PhD

Affiliations

Yugen Ogata, MD: Department of Orthopaedic Surgery, Shiga University of Medical Science, Otsu, Japan
Kosuke Kumagai, MD, PhD: Corresponding author. Department of Orthopaedic Surgery, Shiga University of Medical Science, Seta Tsukinowa-cho, Otsu, Shiga 520-2192, Japan. Tel.: +81 77 548 2252.; Department of Orthopaedic Surgery, Shiga University of Medical Science, Otsu, Japan
Tomohiro Mimura, MD, PhD: Department of Orthopaedic Surgery, Shiga University of Medical Science, Otsu, Japan
Shunichi Miyahara, MD: Department of Orthopaedic Surgery, Shiga University of Medical Science, Otsu, Japan
Masashi Egawa, MD: Department of Orthopaedic Surgery, Shiga University of Medical Science, Otsu, Japan
Hideki Saito, MD: Department of Orthopaedic Surgery, Shiga University of Medical Science, Otsu, Japan
Yasutaka Amano, MD: Department of Orthopaedic Surgery, Shiga University of Medical Science, Otsu, Japan
Takafumi Yayama, MD, PhD: Department of Orthopaedic Surgery, Shiga University of Medical Science, Otsu, Japan
Mitsuhiko Kubo, MD, PhD: Department of Orthopaedic Surgery, Shiga University of Medical Science, Otsu, Japan
Shinji Imai, MD, PhD: Department of Orthopaedic Surgery, Shiga University of Medical Science, Otsu, Japan

Journal volume & issue: Vol. 22
p. 101168

Abstract

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Chronic expanding hematoma (CEH) is a rare anatomical condition that gradually expands due to trauma or surgery. We report the case of a 56-year-old woman who developed CEH 25 years after metal-on-polyethylene total hip arthroplasty. She presented with swelling and radiating pain in the right inguinal region. Tocilizumab was administered for treating rheumatoid arthritis and renal amyloid A amyloidosis. Diagnostic imaging and partial resection revealed a soft tissue mass and a CEH, respectively. The symptoms recurred 6 months later; dialysis was initiated, and the CEH was resected under general anesthesia, leading to improvement. This case report emphasizes the importance of prompt diagnosis and intervention in CEH management for preventing further complications and improving the patient's quality of life.

Published in Arthroplasty Today

ISSN: 2352-3441 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: https://www.journals.elsevier.com/arthroplasty-today/

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