A rare complication of testicular infarction after femorofemoral bypass highlighting the importance of surgical technique. uri icon

Overview

abstract

  • We present an interesting case of a 66-year-old male who had acute testicular infarction following a right common femoral artery to left profunda femoris artery bypass with advanced symptoms of claudication. Angiography in the preoperative period demonstrated the extent of peripheral arterial disease present, revealing a calcified aorta, partially occluded left hypogastric artery, occluded left external iliac, common femoral and superficial femoral arteries and an occluded right hypogastric artery. A bypass was performed without any initial complications and subsequent relief of symptoms of claudication and rest pain. Postoperative scrotal pain and follow-up duplex demonstrated lack of perfusion of the testicle necessitating orchiectomy. This case serves to illustrate the importance of preserving collateral vessels as a technical consideration, as well as presenting a rare potential complication.

publication date

  • November 11, 2019

Identity

PubMed Central ID

  • PMC6847100

Digital Object Identifier (DOI)

  • 10.1093/jscr/rjz271

PubMed ID

  • 31737243

Additional Document Info

volume

  • 2019

issue

  • 11