{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:34:43Z","timestamp":1761708883951,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A woman in her late 70s presented to the acute general surgical take with a 3-day history of worsening right leg pain and swelling. She had undergone right revision total hip arthroplasty 20\u2005months previously and reported chronic postoperative right thigh pain attributed to a femoral deep venous thrombosis for which she had been warfarinised. On examination, Grey Turner's sign (bruising of the flanks indicating retroperitoneal haemorrhage) was present, as well as a large tender mass in the right iliac fossa and pitting oedema throughout the right lower limb. Urgent CT scan with intravenous contrast revealed a right retroperitoneal haematoma secondary to a right acetabular screw protruding into the right external iliac vein. The patient was successfully managed with warfarin reversal and surgical removal of the relevant acetabular screw. At 2-month follow-up, the patient's symptoms continue to resolve.<\/jats:p>","DOI":"10.1136\/bcr-2013-008836","type":"journal-article","created":{"date-parts":[[2013,5,16]],"date-time":"2013-05-16T00:30:54Z","timestamp":1368664254000},"page":"bcr2013008836","source":"Crossref","is-referenced-by-count":4,"title":["An unusual cause of Grey Turner's sign"],"prefix":"10.1136","volume":"2013","author":[{"given":"Oliver Burton","family":"Gosling","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, Musgrove Park Hospital, Taunton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison Emma","family":"Hunter","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Musgrove Park Hospital, Taunton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gray Alexander Dyfan","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Musgrove Park Hospital, Taunton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Squires","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Musgrove Park Hospital, Taunton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,5,15]]},"reference":[{"key":"2025082723284387000_2013.may15_1.bcr2013008836.1","first-page":"147","article-title":"Vascular complications associated with orthopedic procedures","volume":"2013","author":"Freischlag","year":"1989","journal-title":"Surg Gynecol Obstet"},{"key":"2025082723284387000_2013.may15_1.bcr2013008836.2","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1186\/1752-1947-6-294","article-title":"Retroperitoneal hematoma with bone resorption around the acetabular component after total hip arthroplasty: a case report and review of the literature","volume":"2013","author":"Uchida","year":"2012","journal-title":"J Med Case Rep"},{"key":"2025082723284387000_2013.may15_1.bcr2013008836.3","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1007\/s00402-007-0489-2","article-title":"Femoral nerve palsy due to iliacus hematoma occurred after primary total hip arthroplasty","volume":"2013","author":"Gogus","year":"2008","journal-title":"Arch Orthop Trauma Surg"},{"key":"2025082723284387000_2013.may15_1.bcr2013008836.4","first-page":"1240.e1","article-title":"Femoral nerve palsy associated with iliacus hematoma following pseudoaneurysm after revision hip arthroplasty","volume":"2013","author":"Nakamura","year":"2008","journal-title":"J Arthroplasty"},{"key":"2025082723284387000_2013.may15_1.bcr2013008836.5","first-page":"1144.e9","article-title":"Retroperitoneal hematoma: an unusual cause of pain after total hip arthroplasty","volume":"2013","author":"Pouliot","year":"2009","journal-title":"J Arthroplasty"},{"key":"2025082723284387000_2013.may15_1.bcr2013008836.6","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1007\/BF02031979","article-title":"Retroperitoneal haemorrhage from the superior gluteal artery: a late complication of total hip arthroplasty","volume":"2013","author":"Bakker","year":"1990","journal-title":"Clin Rheumatol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008836","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:28:56Z","timestamp":1756362536000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008836"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,15]]},"references-count":6,"alternative-id":["10.1136\/bcr-2013-008836"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008836","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,5,15]]}}}