TY - JOUR
T1 - Giant Hip Synovial Cyst Causing Deep Vein Thrombosis and Femoral Head Osteonecrosis in a Rheumatoid Arthritis Patient
AU - Syrmou, Vasiliki
AU - Koutalos, Antonios A.
AU - Karapli, Maria
AU - Alexiou, Ioannis
AU - Bogdanos, Dimitrios P.
AU - Katsiari, Christina G.
AU - Simopoulou, Theodora
N1 - Publisher Copyright:
© Syrmou V, Koutalos AA, Karapli M, Alexiou I, Katsiari CG, Bogdanos DP, Simopoulou T.
PY - 2022
Y1 - 2022
N2 - Hip synovial cysts are rare. However, in patients with Rheumatoid Arthritis (RA) they present in higher frequency than in general population. Herein, we present an unusual case of a 67-year-old man with RA that presented with unilateral leg oedema and Deep Vein Thrombosis (DVT). Computed tomography (CT) scan revealed a giant cystic lesion adjacent to the right hip joint with longitudinal diameter of 14 cm. Magnetic Resonance Imaging (MRI) confirmed the characteristics of the cyst. Interestingly enough, there was evidence of osteonecrosis of the femoral head. CT guided Fine Needle aspiration (FNA) of the fluid revealed fluid consistency similar to synovial fluid, while it excluded infectious process and malignancy. Patient was finally treated with total hip arthroplasty 3 months after the initiation of low molecular weight heparin (LMWH) in treatment dose.
AB - Hip synovial cysts are rare. However, in patients with Rheumatoid Arthritis (RA) they present in higher frequency than in general population. Herein, we present an unusual case of a 67-year-old man with RA that presented with unilateral leg oedema and Deep Vein Thrombosis (DVT). Computed tomography (CT) scan revealed a giant cystic lesion adjacent to the right hip joint with longitudinal diameter of 14 cm. Magnetic Resonance Imaging (MRI) confirmed the characteristics of the cyst. Interestingly enough, there was evidence of osteonecrosis of the femoral head. CT guided Fine Needle aspiration (FNA) of the fluid revealed fluid consistency similar to synovial fluid, while it excluded infectious process and malignancy. Patient was finally treated with total hip arthroplasty 3 months after the initiation of low molecular weight heparin (LMWH) in treatment dose.
KW - Deep vein thrombosis
KW - Hip
KW - Osteonecrosis
KW - Rheumatoid arthritis
KW - Synovial cyst
UR - http://www.scopus.com/inward/record.url?scp=85140578386&partnerID=8YFLogxK
U2 - 10.31138/mjr.33.3.328
DO - 10.31138/mjr.33.3.328
M3 - Article
AN - SCOPUS:85140578386
SN - 2459-3516
VL - 33
SP - 328
EP - 332
JO - Mediterranean Journal of Rheumatology
JF - Mediterranean Journal of Rheumatology
IS - 3
ER -