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The Journal of Bone and Joint Surgery 81:1596-9 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Pericapsular Fistula of the Hip After Radiation Therapy and Resection of a Rectal Carcinoma. A Case Report*

P. JUSTIN TORTOLANI, M.D.{dagger}, HOWARD S. KAUFMAN, M.D.,{ddagger}, MAURICE Y. NAHABEDIAN, M.D.{dagger} and FRANK J. FRASSICA, M.D.{dagger}, BALTIMORE, MARYLAND

Investigation performed at the Johns Hopkins University School of Medicine, Baltimore


   Introduction
 
Enterocutaneous fistulae between the colon and the hip have been described as devestating complications of total hip arthroplasty and arthrodesis of the hip2,13,14,16. There have been numerous reports of fistulae involving pelvic structures following pelvic radiation therapy3,4,6,7,9. We report the case of a patient in whom a large perirectal abscess and a fistula between the rectum and the trochanteric region of the left hip developed thirty-two months after the patient was managed with a low anterior resection followed by adjuvant chemotherapy and radiation therapy for the treatment of rectal cancer. The fistula initially was treated with irrigation and débridement of the trochanteric region, and the wound healed by secondary intention. The fistula recurred three years later, at twhich time the patient was successfully managed with irrigation and débridement of the hip followed by perineal drainage, intestinal resection, and closure with pedicled muscle flaps. To the best of our . . . [Full Text of this Article]


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L. S. Hagstrom, D. J. Callahan, and J. W. Green
Injury to the Colon During Revision Total Hip Arthroplasty. A Case Report
J. Bone Joint Surg. Am., April 1, 2008; 90(4): 881 - 884.
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