case_images: PMC3600286_01
case_images: In the second operation, we removed the prosthesis, performed the irrigation, and inserted the cemented spacer mixed with the antibiotics for reducing the infection.
case_images: CRIM.ORTHOPEDICS2013-473014.001.jpg
case_images: PMC3600286_01_CRIM.ORTHOPEDICS2013-473014.001.jpg
case_images: fig1
case_images: At 41 days after the initial operation, a second operation was performed using a posterolateral approach (Figure 1).
case_images: PMC3600286_02
case_images: We tested for an arterial bleed with computed tomography using a contrast medium. Although active bleeding was not observed, a hematoma around the hip joint was visible in this test (white arrows).
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case_images: fig2
case_images: Active bleeding was not observed; however, a hematoma around the hip joint was visualized by this method (Figure 2).
case_images: At postoperative day 27, we punctured the hematoma and 150 grams of uncoagulated bloody liquid was aspirated.
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case_images: fig3
case_images: Thus, we punctured the hematoma and 150 grams of uncoagulated bloody liquid was aspirated (Figure 3).
case_images: A physician at a rehabilitation hospital punctured the hematoma, releasing about 50 mL of uncoagulated bloody liquid. Subsequently bloody liquid continued to flow from the puncture needle hole.
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case_images: fig4
case_images: Because the bloody liquid continued to flow from the puncture needle hole, she was admitted back to our hospital (Figure 4).
case_images: At postoperative day 115, we completely removed the hematoma via approximately a 2 cm surgical skin incision. We removed about 1,000 grams of uncoagulated lightly colored bloody liquid.
case_images: CRIM.ORTHOPEDICS2013-473014.005.jpg
case_images: PMC3600286_02_CRIM.ORTHOPEDICS2013-473014.005.jpg
case_images: fig5
case_images: We removed about 1,000 grams of uncoagulated lightly colored bloody liquid (Figure 5).
case_images: At day 3 after complete removal of the hematoma, the hematoma enlarged gradually and the thigh pain returned.
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case_images: fig6
case_images: Three days later, the hematoma had enlarged gradually and the thigh pain returned (Figure 6).