The Journal of Bone and Joint Surgery (American). 2008;90:881-884.
doi:10.2106/JBJS.F.01452
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Injury to the Colon During Revision Total Hip Arthroplasty

A Case Report

Lindsey S. Hagstrom, BA1, Dennis J. Callahan, MD2 and James W. Green, MD2

1 376 North Owasso Boulevard, Shoreview, MN 55126
2 Allina Medical Center, 9055 Springbrook Drive N.W., Suite 1A, Coon Rapids, MN 55433-5841
Investigation performed at Mercy Hospital, Coon Rapids, Minnesota

The first 150 words of the full text of this article appear below.


   Introduction
 
A young woman with rheumatoid arthritis underwent revision of an acetabular component of a total hip prosthesis because of progressive osteolysis about the acetabular screw holes. During curettage of the membrane of one of the screw holes, a portion of the colon adjacent to the acetabulum was grasped and inadvertently injured. To the best of our knowledge, this is the first report of this intra-abdominal complication. We obtained institutional review board approval for this retrospective report. Our patient was informed that data concerning the case would be submitted for publication, and she consented.


   Case Report
 
A twenty-nine-year-old woman with a medical history of rheumatoid arthritis underwent right and left total hip arthroplasties in August and October 1993, respectively. Approximately 8.5 years later, in January 2002, the patient underwent revision arthroplasty of the right hip because of progressive periacetabular osteolysis. Preoperatively, an anteroposterior pelvic radiograph and computed tomographic scan demonstrated that the stems . . . [Full Text of this Article]


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