URETEROARTICULAR FISTULA AFTER TOTAL HIP-REPLACEMENT - A CASE-REPORT

A fistula between the ureter and the acetabular space developed in a w oman 69 years of age after revision surgery for a total hip arthroplas ty. Symptoms were intermittent macrohematuria and swelling of the leg. The diagnosis was confirmed by arthrography and an elevated creatinin e level in the aspirated fluid. After nephroureterectomy, symptoms dis appeared. We conclude that the differential diagnosis of persisting un usual symptoms after total hip replacement has to include a fistula be tween the total hip prosthesis and urinary tract, even in the absence of open sinuses.