Femoral vein obturator bypass revascularization in groin infectious bleeding: two case reports and review of the literature

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Albert Busch - , University Clinic of Würzburg - ZOM (Autor:in)
  • Udo Lorenz - (Autor:in)
  • George Christian Tiurbe - (Autor:in)
  • Christoph Bühler - (Autor:in)
  • Richard Kellersmann - (Autor:in)

Abstract

INTRODUCTION: Groin infections resulting in arterial bleeding due to bacterial vessel destruction are a severe challenge in vascular surgery. Patients with them most often present as emergencies and therefore need individualized reconstruction solutions.

CASE PRESENTATION: Case 1 is a 67-year-old man with infectious bleeding after an autologous reconstruction of the femoral bifurcation with greater saphenous vein due to infection of a bovine pericard patch after thrombendarterectomy. Case 2 is a 35-year-old male drug addict and had severe femoral bleeding and infection after repeated intravenous and intra-arterial substance abuse. Both patients were treated with an autologous obturator bypass of the superficial femoral vein. We review the current literature and highlight our therapeutic concept of this clinical entity.

CONCLUSIONS: Treatment should include systemic antibiotic medication, surgical control of the infectious site, revascularization and soft tissue repair. An extra-anatomical obturator bypass with autologous superficial femoral vein should be considered as the safest revascularization procedure in infections caused by highly pathogenic bacteria.

Details

OriginalspracheEnglisch
Aufsatznummer75
FachzeitschriftJournal of medical case reports
Jahrgang7
PublikationsstatusVeröffentlicht - 18 März 2013
Peer-Review-StatusJa
Extern publiziertJa

Externe IDs

PubMedCentral PMC3607977
Scopus 84875025898

Schlagworte

Ziele für nachhaltige Entwicklung