TY  - JOUR
A1  - Busch, Albert
A1  - Lorenz, Udo
A1  - Tiurbe, George Christian
A1  - Bühler, Christoph
A1  - Kellersmann, Richard
T1  - Femoral vein obturator bypass revascularization in groin infectious bleeding: two case reports and review of the literature
JF  - Journal of Medical Case Reports
N2  - 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.
KW  - Obturator bypass
KW  - Groin infection
KW  - Autologous
KW  - Extra-anatomical
KW  - Femoral vein
Y1  - 2013
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-95901
UR  - http://www.jmedicalcasereports.com/content/7/1/75
ER  -