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Papers of the Week


2020 May


Cureus


12


5

Pseudotumor in the Setting of Metal-on-Metal Total Hip Arthroplasty.

Authors

Sagoo NS, Sharma R, Johnson CS, Stephenson K, Aya KL
Cureus. 2020 May; 12(5):e8255.
PMID: 35509374.

Abstract

Metal-on-metal (MoM) hip resurfacing/replacement is a highly discussed topic in arthropathy, and the impact of its complications is still being elucidated. We report the case of a patient who presented with severe stomach pain due to a symptomatic psoas fluid collection that was later shown to communicate with a MoM total hip prosthesis. A MoM pseudotumor presenting as persistent stomach pain due to an aseptic psoas fluid collection is a rare complication. The case may support an earlier diagnosis in at-risk patients, and it outlines a suggested workup and treatment plan.