*Corresponding author:
Alessandro Calistri, Orthopaedic Surgeon, Department of Anatomical, Histological, Forensic Medicine and Orthopedic Science, University of Rome Sapienza, Piazzale Aldo Moro 5 00136 Rome, ItalyReceived: January 27, 2018; Published: February 09, 2018
DOI: 10.26717/BJSTR.2018.02.000746
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Objective: Post-operative anemia may be a compelling problem, sometimes sudden, of difficult diagnosis, that may be enhanced by underlying medical conditions, and that may influence therapeutic choices.
Case report: We present a case of sudden anemia (from 10.2 pt. to 7.3 pt. of HB in two days), after a total hip arthroplasty, performed under combined spinal and peripheral anesthesia, in a 70 years old woman who suffered from a coagulation disorder due to a rare genetic mutation (homozygosis for MTHFR C677T).
Conclusion: The anaemia was due to retroperitoneal hematoma with a pseudo aneurysm of the left lumbar artery, with active bleeding localized at L4, resolved by intervention of intravascular remobilization of the feeder artery of the pseudo aneurysm.
Keywords: Aneurysm; Replacement; Hip; Hematoma; Lumbar Plexus; Mthfrdeficiency
Abstract| Introduction| Case Report| Discussion| Authors’ contributions| Acknowledgement| References|