Harnblasenperforation durch Migration eines Burch-Schneider-Stützrings

Zusammenfassung

Stützringe finden in der Revisionschirurgie großer azetabulärer Defekte breite Anwendung. Wir präsentieren einen Fallbericht eines gelockerten Burch-Schneider-Rings, kombiniert mit Perforation der Harnblase und konsekutiver Makrohämaturie 10 Jahre postoperativ. Nach entsprechender präoperativer Abklärung erfolgten die interdisziplinäre Explantation der Hüftendoprothese sowie die Sanierung des Defekts in der Harnblasenwand.

Abstract

Reinforcement cages are widely used for the treatment of large acetabular bone defects. We report the case of a loosened Burch-Schneider reinforcement ring causing a recurrent macrohaematuria due to a perforation of the urinary bladder. After performing several diagnostic procedures, the patient underwent interdisciplinary revision surgery. Due to the severe destruction of the acetabular bone stock and an infection of the total hip prosthesis as confirmed by fresh frozen section, the hip prosthesis was explanted. At the last follow-up the patient was free of infect-related symptoms and was able to walk with one crutch.

Schlüsselwörter

Harnblase - Perforation - Hüfte - Revision

Key words

urinary bladder - perforation - hip - revision

Literatur

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