Formation of a large rice body-containing cyst following total hip arthroplasty

BMC Research Notes

Paul S Issack¹ 

[1] Department of Orthopaedic Surgery, New York Downtown Hospital, New York, USA

关键词: Total hip arthroplasty;    Rice bodies;    Pseudotumor;    Cyst;   

Others  :  1166307
DOI  :  10.1186/1756-0500-5-294

 received in 2012-04-10, accepted in 2012-06-14,  发布年份 2012

【 摘 要 】

Background

There are several well-described causes of a painful mass following total hip arthroplasty including polyethylene and metal wear debris, infection, expanding hematoma, dislocation, and synovial cysts. In addition to causing pain, these lesions, when large enough, may cause neurologic and vascular compromise. Rapid growth of the mass may clinically and radiographically resemble a sarcoma. Here, we report a case of a large painful hip mass which developed after total hip arthroplasty. The well-circumscribed mass was overlying and extending into the hip joint containing thousands of highly organized fibrin-containing “rice bodies”. To our knowledge, this is the first report of a large, highly organized (rice-body-containing) cyst complicating total hip arthroplasty.

Case presentation

A 55-year old Caucasian woman developed a large, slowly enlarging, painful hip mass 2 1/2 years after primary total hip arthroplasty. Clinically and radiographically, the lesion resembled a soft tissue sarcoma. Surgical removal identified a well-circumscribed mass extending into the hip joint containing thousands of highly organized fibrin-containing “rice bodies”.

Conclusion

Identification and excision of this “pseudotumor” following hip arthroplasty is important for obtaining a definitive diagnosis, ruling out malignancy or infection and relieving any potential compression on surrounding neurovascular structures.

【 授权许可】

   
2012 Issack; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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