Schäfer D, Mattarelli G, Morscher E
Department of Orthopaedic Surgery, University of Basel, Switzerland.
Arch Orthop Trauma Surg. 1994;114(1):35-6. doi: 10.1007/BF00454733.
A fistula between the ureter and the acetabular space developed in a woman 69 years of age after revision surgery for a total hip arthroplasty. Symptoms were intermittent macrohematuria and swelling of the leg. The diagnosis was confirmed by arthrography and an elevated creatinine level in the aspirated fluid. After nephroureterectomy, symptoms disappeared. We conclude that the differential diagnosis of persisting unusual symptoms after total hip replacement has to include a fistula between the total hip prosthesis and urinary tract, even in the absence of open sinuses.
一名69岁女性在全髋关节置换翻修术后出现输尿管与髋臼间隙之间的瘘管。症状为间歇性肉眼血尿和腿部肿胀。通过关节造影和吸出液中肌酐水平升高确诊。肾输尿管切除术后症状消失。我们得出结论，全髋关节置换术后持续出现异常症状的鉴别诊断必须包括全髋关节假体与泌尿道之间的瘘管，即使没有开放窦道。
