External iliac vein injury during total hip arthroplasty: a case report
- Ji Hyo Kim Ji Hyun Kim Hyeon Jun Lee Yehun Jin Seong Wook Hong
- 조선대학교 의학연구원
- Medical Biological Science and Engineering
- 제2권 제1호
- 등재여부 : KCI등재후보
- 26 - 30 (5 pages)
Vascular injuries during total hip arthroplasty (THA) are rare, but they could be life threatening when they occurs. Therefore, early diagnosis and appropriate management should be required to reduce the rate of morbidity and mortality of the patient. In case of external iliac vein (EIV) injury, it could be more difficult to be noticed because of its slow onset, which could result in catastrophic, delayed hemorrhagic shock. Although EIV injury during THA is uncommon and has not been emphasized enough in anesthetic field, subsequence could be fatal. Herein, we report a case of EIV injury occurred by a drill tip passing through the acetabulum during THA. The patient showed an abrupt hemodynamic collapse without visual evidence of massive bleeding. Cardiopulmonary resuscitation was even required before detection and repair of EIV.