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The e-mémoires of the Académie Nationale de Chirurgie

Exceptional Vascular Complication Following a Resumption of Total Hip Prosthesis: Expertise in Research for the Causes and Responsibilities

DURANDEAU A

Seance of wednesday 04 january 2017 (LES COMPLICATIONS RARES ET EXCEPTIONNELLES : QUELLE RESPONSABILITÉ POUR LES CHIRURGIENS ? section « consultants et experts »)

DOI number : 10.2699/ d1pq-y366/emem.2017.3.005

Abstract

Resumption of a prosthesis of the hip for bursitis by conflict with the psoas of the left psoas in the contact of the cotyle part, in the angio to scan and cotyle jutting out in the TDM; removal of the cupule with use of a carver of cotyle followed by a posterior reaming, a complication per operating: removal of the cupule low blood pressure, initially compensated bleeding then hémodynamic failure with retro bruise and under peritoneal in the ultrasound with vascular resumption and wound of the left external primitive and iliac vein which was stitched, arisen disorders of the coagulation and a intravasculary coagulopathy spread with unfavorable evolution and death in the evening.