We report a patient who presented with acute hypovolemic shock due to massive bleeding through the suction drainage lancet holes three days after a total hip arthroplasty. Emergency digital arteriography revealed active bleeding of a perforating muscular branch of the profunda femoris artery located at the level of the lancet holes. Selective embolization with a microcatheter controlled the haemorrhage and avoided further surgical exploration, which could have demonstrated no active bleeding from the hip or pelvis.
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