CoxaPro
> Clinical Library > Welcome to the joint replacement clinical library > Huge Pelvic Mass Secondary to Wear Debris Causing Ureteral Obstruction
The Journal of Arthroplasty, ISSN: 0883-5403, Vol: 20, Issue: 7, Page: 946-949
Hip
Link to article
Huge Pelvic Mass Secondary to Wear Debris Causing Ureteral Obstruction
Hananouchi, Takehito; Saito, Masanobu; Nakamura, Nobuo; Yamamoto, Tetsuya; Yonenobu, KazuoHip
We report an unusual granulomatous reaction of wear debris that produced a huge pelvic mass causing ureteral obstruction. A 72-year-old woman, who received a cemented total hip arthroplasty 30 years ago, was referred to the department of gynecology for examination of a pelvic mass. A computed tomography scan revealed a huge homogenous mass, measuring approximately 20 × 16 × 12 cm, including extensive osteolysis of the left pelvis around the acetabular component. Intravenous pyelogram revealed complete obstruction of the left ureter resulting in hydronephrosis of the left kidney. Histological examination from the biopsy specimen detected polyethylene wear debris in the mass.
Link to article