{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:46Z","timestamp":1756339606671,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,10]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Vascular injury is a rare but important complication following a total hip arthroplasty (THA). The occurrence of such an event can be difficult to detect and manage due to the time frame in which this can occur. We report a case of a female patient in her 70s who presented 19 months post right THA with right-sided acute limb ischaemia. Initial imaging revealed occlusion at the level of the right common and external iliac arteries. The patient was treated with a successful embolectomy, but muscle death in the leg, leading to acidosis resulted in the right leg being amputated. Postoperatively, a drop in the haemoglobin levels without any visible bleeding and the presence of a new suprainguinal pulsatile swelling warranted a CT angiogram. This demonstrated a false aneurysm originating from the distal right external iliac artery, precisely at the point where it encountered a cement spicule from the previous THA.<\/jats:p>","DOI":"10.1136\/bcr-2024-261844","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T20:31:22Z","timestamp":1733344282000},"page":"e261844","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Cement fragment induced external iliac artery pseudoaneurysm: a rare complication following total hip arthroplasty"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7529-5497","authenticated-orcid":false,"given":"Ioannis","family":"Perros","sequence":"first","affiliation":[{"name":"School of Medicine, Keele University, Newcastle-under-Lyme, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Kiyawat","sequence":"additional","affiliation":[{"name":"University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Day","sequence":"additional","affiliation":[{"name":"University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sriram","family":"Rajagopalan","sequence":"additional","affiliation":[{"name":"School of Medicine, Keele University, Newcastle-under-Lyme, UK"},{"name":"University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,4]]},"reference":[{"key":"2025082712533848000_17.12.e261844.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.11.067"},{"key":"2025082712533848000_17.12.e261844.2","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1016\/j.arth.2010.08.018","article-title":"Iliac artery pseudoaneurysm rupture following excision of an infected hip prosthesis","volume":"26","author":"Smith","year":"2011","journal-title":"J Arthroplasty"},{"key":"2025082712533848000_17.12.e261844.3","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.jvscit.2017.04.006","article-title":"Pseudoaneurysm of the external iliac artery is a rare late complication after total hip arthroplasty","volume":"3","author":"Fukuhara","year":"2017","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"2025082712533848000_17.12.e261844.4","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/S0035-1040(04)70133-6","article-title":"Arterial false aneurysm after total hip arthroplasty. A case report","volume":"90","author":"Bechet","year":"2004","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"2025082712533848000_17.12.e261844.5","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.jvscit.2021.02.007","article-title":"A novel case of a pseudoaneurysm due to thermal injury from a cement hip spacer","volume":"7","author":"de Boer","year":"2021","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"2025082712533848000_17.12.e261844.6","doi-asserted-by":"crossref","first-page":"200","DOI":"10.55095\/achot2011\/032","article-title":"Vascular injuries in joint replacement surgery","volume":"78","author":"Novotn\u00fd","year":"2011","journal-title":"Acta Chir Orthop Traumatol Cech"},{"key":"2025082712533848000_17.12.e261844.7","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1177\/0218492317732251","article-title":"Cement fragment from hip arthroplasty causing deep femoral artery pseudoaneurysm","volume":"25","author":"Gorospe","year":"2017","journal-title":"Asian Cardiovasc Thorac Ann"},{"key":"2025082712533848000_17.12.e261844.8","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2000.4643"},{"key":"2025082712533848000_17.12.e261844.9","doi-asserted-by":"publisher","DOI":"10.1053\/ejvs.2002.1696"},{"key":"2025082712533848000_17.12.e261844.10","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/j.artd.2019.06.006","article-title":"External iliac pseudoaneurysm secondary to medial wall penetration of an acetabular screw: a rare cause of total hip arthroplasty failure 15 years after implantation","volume":"5","author":"Wilson","year":"2019","journal-title":"Arthroplast Today"},{"key":"2025082712533848000_17.12.e261844.11","doi-asserted-by":"publisher","DOI":"10.1177\/1708538113477799"},{"key":"2025082712533848000_17.12.e261844.12","doi-asserted-by":"publisher","DOI":"10.1177\/1538574408328664"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261844","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:53:45Z","timestamp":1756324425000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261844"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":12,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,4]]},"published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1136\/bcr-2024-261844"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261844","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}