Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation.
Journal
Case reports in vascular medicine
ISSN: 2090-6986
Titre abrégé: Case Rep Vasc Med
Pays: United States
ID NLM: 101585357
Informations de publication
Date de publication:
2019
2019
Historique:
received:
17
07
2019
accepted:
01
10
2019
entrez:
25
12
2019
pubmed:
25
12
2019
medline:
25
12
2019
Statut:
epublish
Résumé
A 74-year-old male patient was presented with scrotal swelling and a pulsatile mass of the left femoro-inguinal region. His medical history included hypertension, coronary artery disease, respiratory failure, and an aortobifemoral bypass surgery performed 7 years ago. Ultrasound evaluation revealed a massive scrotal hematoma. Computed tomography angiography (CTA) was conducted, confirming the aortobifemoral graft existence and revealing bilateral anastomotic pseudoaneurysms with the left one being ruptured, resulting in extension of the hematoma to the left femoro-inguinal region and the scrotum. An emergency surgery was performed, where proximal control of the left limb of the synthetic graft as well as distal control of the iliac vessels were accomplished. After the control of the hemorrhage, an iliofemoral bypass with a Polytetrafluoroethylene (PTFE) 6 mm synthetic graft was placed. Unfortunately, the patient passed away during the first postoperative day due to myocardial infarction.
Identifiants
pubmed: 31871818
doi: 10.1155/2019/9013697
pmc: PMC6906845
doi:
Types de publication
Case Reports
Langues
eng
Pagination
9013697Informations de copyright
Copyright © 2019 Magdalini Smarda et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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