Intractable Bleeding After Revision Hip Arthroplasty Because of Angiosarcoma: A Report of 2 Cases.

Authors

Arthur A Ter-Zakarian, Lehigh Valley Health NetworkFollow
David M Joyce
Steven Lyons
Thomas L Bernasek

Publication/Presentation Date

4-1-2023

Abstract

CASE: Two cases of revision total hip arthroplasty (THA) for pseudotumor and infection with persistent postoperative bleeding because of angiosarcoma are presented. After surgery, both patients' health deteriorated because of hypovolemic shock despite transfusion, pressors, embolization, and prothrombotics. Diagnosis was obscure and delayed despite extensive imaging. Standard and computed tomography angiogram were nondiagnostic and did not localize the tumors or bleeding. Repeat surgeries and biopsies requiring special staining ultimately revealed epithelioid angiosarcoma.

CONCLUSION: A diagnosis of angiosarcoma was etiologic for persistent postoperative bleeding after revision THA and should be considered in such cases.

Volume

13

Issue

2

ISSN

2160-3251

Published In/Presented At

Ter-Zakarian, A. A., Joyce, D. M., Lyons, S., & Bernasek, T. L. (2023). Intractable Bleeding After Revision Hip Arthroplasty Because of Angiosarcoma: A Report of 2 Cases. JBJS case connector, 13(2), e22.00293. https://doi.org/10.2106/JBJS.CC.22.00293

Disciplines

Medical Education | Medicine and Health Sciences

PubMedID

37071738

Department(s)

USF-LVHN SELECT Program

Document Type

Article