Sunday, 11 June 2017

Complications:

The case to show weird complication of the most common invasive diagnostic test - Coronary angiography
Right hip pain after femoral artery puncture is commonly due to development of pseudoaneurysym which is very easy to deal with,But this patient is not so lucky.

Angiography with femoral puncture and stenting are performed elsewhere . Not in our facility but she came to us with right hip pain

Radiograph showing Right hip Joint and pubic symphysis space narrowing and which progressed rapidly with osteolysis
MRI  showing same findings more elegantly. Extensive paraarticular edema and synovial effusion
Synovial fluid aspiration and culture came positive for staphylococci.

Final diagnosis - septic arthritis after femoral artery puncture
Review of literature showed only one more similar case in pub Med index

http://journals.sagepub.com/doi/abs/10.1177/0267659109359961?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed