Pelvic Mass 21 Years after Total Hip Arthroplasty

Abstract EN

Background.

Long-term urologic complications after total hip arthroplasty are rare, and reports in the urologic literature are scant.

We present a recent case and review the relevant literature.

Case.

A 77-year-old man was referred to the urology clinic for a single episode of gross painless hematuria, abnormal urine cytology, and pelvic mass.

He had a significant smoking history.

Surgical history included right total hip arthroplasty 21 years prior.

Results.

Pelvic ultrasound revealed a large mass abutting the right bladder wall.

Subsequent computed tomography indicated that the mass was extrinsic to the bladder.

Results of computed tomography-guided biopsy of the mass were consistent with foreign body granuloma.

Surveillance imaging confirmed no growth or progression, and intervention was deferred.

Conclusion.

Long-term complications of total hip arthroplasty may present with signs and symptoms of urologic disease.

Reports in the urologic literature are rare.