Impairment of Blood Flow due to Iliopectineal Bursitis : A Case Report

DOI
  • Satake Yoshinori
    Department of Orthopaedic Surgery, Kochi Prefectural Hata Kenmin Hospital
  • Kitaoka Kenichi
    Department of Orthopaedic Surgery, Kochi Prefectural Hata Kenmin Hospital
  • Dan Junpei
    Department of Orthopaedic Surgery, Kochi Prefectural Hata Kenmin Hospital
  • Igarashi Yoichi
    Department of Orthopaedic Surgery, Kochi Prefectural Hata Kenmin Hospital
  • Hashimoto Kyuichi
    Department of Internal Medicine, Otsuki Hospital

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Other Title
  • 血流障害を呈した腸恥滑液包炎の１例

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Iliopectineal bursitis is a rare disease associated with various hip disorders. We report a case of impaired blood flow due to iliopectineal bursitis in a patient with osteoarthritis of the hip.<br>An 85-year-old man was admitted to our hospital because of right leg pain and edema. Radiographic findings showed osteoarthritis of the right hip. Ultrasound imaging of the hip revealed right iliopectineal bursitis compressing the right femoral vein. Aspiration of the iliopectineal bursitis was performed and its size was reduced for a while, but relapse soon occurred. Total hip arthroplasty (THA) and partial bursectomy were indicated for the painful bursitis.<br>In cases of impaired blood flow due to iliopectineal bursitis, aspiration of the bursitis is associated with risks of recurrence and deep vein thrombosis. Treatments for hip disease such as THA and bursectomy should be considered in cases of severe iliopectineal bursitis with vessel compression.

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