Femoral Arterial Blowout Post Groin Recurrence in Vulvar Carcinoma – Novel Endovascular Management

Bhageerathy, Pallipuram Seshadrinathan; Thomas, Anitha; Thomas, Vinotha; Keshava, Shyamkumar N.; Peedicayil, Abraham

doi:10.1007/s13193-016-0521-5

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…Vascular blow-out syndrome is a life-threatening bleeding condition that usually occurs in the carotid arteries as a result of invasion of head and neck malignant tumors, secondary to surgical treatment or radiotherapy administered for these tumors, or as a result of a combination of these factors, and also it may occur secondary to wound infections [1][2][3]. There are several case reports in the literature on peripheral vascular blow out, rarely in the femoral and iliac arteries secondary to colonic, anal, penile and vulvar malignancies [3][4][5]. However, there is no case report in the literature on blow-out in the femoral artery secondary to skin malignancy.…”

Section: Introductionmentioning

confidence: 99%

Endovascular treatment of femoral artery blow-out caused by skin malignancy

Hekimoğlu

Ergün

Birgi

et al. 2022

Egypt J Radiol Nucl Med

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Background Vascular blow-out syndrome is a life-threatening bleeding condition that usually occurs in the carotid arteries as a result of invasion of head and neck malignant tumors. There are several case reports in the literature on peripheral vascular blow out. To our knowledge, there is no other case report in the literature on blow-out in the femoral artery secondary to skin malignancy. Case presentation A 66-year-old male patient, who was diagnosed with skin squamous cell carcinoma (SCC) as a result of tissue sampling due to redness and stiffness in the left inguinal region, underwent emergency surgery with severe bleeding. Since edema and deformations on the skin did not render the operation possible, the patient was taken to the interventional radiology unit by applying pressure compression onto the bleeding area for urgent endovascular treatment. The patient was treated with a stent-graft. Conclusion The femoral blow-out is an emergency condition that needs to be managed aggressively, and if left untreated, it can cause serious bleeding, limb ischemia, limb loss, or death. Endovascular stent-graft placement is the first method that should be considered, and this method provides fast and effective treatment.

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