Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation
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...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/9013697 |
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| author | Magdalini Smarda Dimitrios Fagkrezos Ilias Dodos Anastasios Potouridis Dimitrios Staramos Charikleia Triantopoulou Petros Maniatis |
| author_facet | Magdalini Smarda Dimitrios Fagkrezos Ilias Dodos Anastasios Potouridis Dimitrios Staramos Charikleia Triantopoulou Petros Maniatis |
| author_sort | Magdalini Smarda |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-d0c2b803b74a40ecb730802fdba26e9a |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-d0c2b803b74a40ecb730802fdba26e9a2025-02-03T01:28:01ZengWileyCase Reports in Vascular Medicine2090-69862090-69942019-01-01201910.1155/2019/90136979013697Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA EvaluationMagdalini Smarda0Dimitrios Fagkrezos1Ilias Dodos2Anastasios Potouridis3Dimitrios Staramos4Charikleia Triantopoulou5Petros Maniatis6Department of Computed Tomography and Interventional Radiology, “Konstantopouleion” General Hospital of Nea Ionia, Athens, GreeceDepartment of Computed Tomography and Interventional Radiology, “Konstantopouleion” General Hospital of Nea Ionia, Athens, GreeceDepartment of Vascular Surgery, “Konstantopouleion” General Hospital of Nea Ionia, Athens, GreeceDepartment of Vascular Surgery, “Konstantopouleion” General Hospital of Nea Ionia, Athens, GreeceDepartment of Vascular Surgery, “Konstantopouleion” General Hospital of Nea Ionia, Athens, GreeceDepartment of Radiology, “Konstantopouleion” General Hospital of Nea Ionia, Athens, GreeceDepartment of Computed Tomography and Interventional Radiology, “Konstantopouleion” General Hospital of Nea Ionia, Athens, GreeceA 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.http://dx.doi.org/10.1155/2019/9013697 |
| spellingShingle | Magdalini Smarda Dimitrios Fagkrezos Ilias Dodos Anastasios Potouridis Dimitrios Staramos Charikleia Triantopoulou Petros Maniatis Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation Case Reports in Vascular Medicine |
| title | Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation |
| title_full | Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation |
| title_fullStr | Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation |
| title_full_unstemmed | Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation |
| title_short | Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation |
| title_sort | massive scrotal hematoma due to ruptured anastomotic pseudoaneurysm in a patient with aortobifemoral bypass surgery cta evaluation |
| url | http://dx.doi.org/10.1155/2019/9013697 |
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