External iliac vein injury during total hip arthroplasty: a case report

Ji Hyo Kim; Ji Hyun Kim; Hyeon Jun Lee; Yehun Jin; Seong Wook Hong

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자료유형: 학술저널

저자정보: Ji Hyo Kim (Department of Anesthesiology and Pain Medicine Kyungpook National University Hospital Daegu Korea) Ji Hyun Kim (Department of Anesthesiology and Pain Medicine Kyungpook National University Hospital Daegu Korea) Hyeon Jun Lee (Department of Anesthesiology and Pain Medicine Kyungpook National University Hospital Daegu Korea) Yehun Jin (Department of Anesthesiology and Pain Medicine Kyungpook National University Hospital Daegu Korea) Seong Wook Hong (Department of Anesthesiology and Pain Medicine Kyungpook National University Hospital Daegu Korea)

저널정보: 조선대학교 의학연구원 Medical Biological Science and Engineering Medical Biological Science and Engineering Vol.2 No.1

발행연도: 2019.1

수록면: 26 - 30 (5page)

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Vascular injuries during total hip arthroplasty (THA) are rare, but they could be life threatening when they occurs. Therefore, early diagnosis and appropriate management should be required to reduce the rate of morbidity and mortality of the patient. In case of external iliac vein (EIV) injury, it could be more difficult to be noticed because of its slow onset, which could result in catastrophic, delayed hemorrhagic shock. Although EIV injury during THA is uncommon and has not been emphasized enough in anesthetic field, subsequence could be fatal. Herein, we report a case of EIV injury occurred by a drill tip passing through the acetabulum during THA. The patient showed an abrupt hemodynamic collapse without visual evidence of massive bleeding. Cardiopulmonary resuscitation was even required before detection and repair of EIV.

#Iliac vein injury #Total hip replacement #Hypovolemia #Shock

참고문헌 (13)

참고문헌 신청

Shoenfeld NA / 1990 / The management of vascular injuries associated with total hip arthroplasty / J Vasc Surg 11:549~555

Müdüroğlu A / 2017 / Iliac vein injury during total hip replacement: a rare iatrogenic complication and its successful surgical treatment / Int J Vasc Surg Med 3:33~35

Bergqvist D / 1983 / Vascular complications after total hip arthroplasty / Acta Orthop Scand 54:157~163

Doi S / 2005 / External iliac vein injury during total hip arthroplasty resulting in delayed shock / Br J Anaesth 94:866

Lee KW / 2011 / Threatening external iliac vein injury during total hip arthroplasty / J Kyung Hee Univ Med Cent 27:60~64

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