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CASE REPORT
A rare presentation of haematuria: hip prosthesis in the bladder
  1. Yih Chyn Phan,
  2. Nnaemeka Eli,
  3. Praveen Pillai,
  4. Jonathan O’Dair
  1. Royal Shrewsbury Hospital, Shrewsbury, UK
  1. Correspondence to Yih Chyn Phan, yihchyn{at}hotmail.com

Summary

An 80-year-old woman presented to our department with visible haematuria and stage II acute kidney injury (AKI). She had stage IIB cervical cancer, for which she received chemotherapy and external beam radiotherapy in 2003. Four years later, she had a left dynamic hip screw for an extracapsular neck of femur fracture following a fall. In 2010, she underwent a right total hip replacement owing to osteoarthritis, and it was subsequently revised in 2012 owing to a right acetabular component failure. In this admission, her AKI improved with intravenous fluid administration and her haematuria settled following catheterisation with a three-way catheter and bladder irrigation with saline. She underwent a flexible cystoscopy which revealed that a part of her right hip prosthesis was in the bladder, having eroded through the right bony pelvis. However, she declined any surgical interventions.

  • hematuria
  • urology
  • orthopaedics
  • radiotherapy
  • gynecological cancer
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Footnotes

  • Contributors YCP drafted the first draft. NE and PP edited the subsequent drafts. JO’D supervised the team.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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