Peri Operative Management of a Case of Paget's disease with Hemorrhagic Shock: About a Case

Paget's disease of bone (PD) is a rare disease with late onset whose current prevalence reaches, after the age of 55, PD is characterized by bone fragility, hypertrophy and deformities of the affected bones, caused by foci of increased bone remodeling that contain overactive and large osteoclasts. The consequences are: thickening, decrease in its flexibility, hypervascularization, pathological fractures. Often asymptomatic, Paget's disease never affects the whole of the skeleton but each bone can be affected, it affects in order of frequency the pelvis, the sacrum, spine, femur and skull. We report here the peri operative management of a case of Paget's disease who presented with hemorrhagic shock during intermediate hip prosthesis for femoral neck fracture.