Periprosthetic rice body containing cyst formation in a case of revision total hip replacement in a known RA - Diagnostic Dilemma: A case report

Abstract

Introduction: Recurring painful mass with no signs of inflammation over the hip in a case of revision total hip replacement in known RA is a diagnostic dilemma and has not been reported when no Implant wear debris, infection, expanding hepatoma, Pseudoaneurysm, synovial cyst, sarcoma were excluded in a multiple operated Revision THR.Case Presentation: We report a case of a large rice body containing lobulated recurring clinically non-inflammatory painful cystic swelling over the lateral aspect of a multiple operated revision total hip replacement on the right hip in a known RA patient, a 64 years female. She had both hip and knee primary replacement done in 2008 and revision right Hip following periprosthetic fracture in 2016. Conclusion: This case report helps in a systematic approach to diagnose and manage a case of large recurring painful rice body containing cystic swelling of the hip following multiple operated Revision THR.