Giant Perigraft Seroma after Axillobifemoral Bypass for Leriche’s Syndrome: A Case Report

Bissacco, Daniele; Domanin, Maurizio; Alessandro, Del Gobbo; Gabrielli, L.

doi:10.3400/avd.cr.16-00052

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…In this case, the patient developed perigraft seroma after PTFE grafting, which is congruent with existing literature, predominantly case reports describing perigraft seroma following PTFE graft implantation 3, 4, 5, 12, 13, 14…”

Section: Discussionsupporting

confidence: 90%

“…Perigraft seroma is defined as a persistent, sterile collection of fluid confined within a nonsecretory, fibrous, pseudomembrane surrounding a vascular graft 1, 2. The condition is associated mainly with subcutaneously tunneled grafts,3, 4, 5, 6 but is also a well-known complication of intra-abdominal grafts 7, 8, 9, 10, 11. However, a perigraft seroma penetrating the aortic sac and rupturing into the intraperitoneal cavity, as described in this case, is very rare.…”

Section: Discussionmentioning

confidence: 99%

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Perigraft seroma penetrating the aortic sac and rupturing into the intraperitoneal cavity

Broda

Budtz-Lilly

Vammen

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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We present a case of a 66-year-old woman who developed perigraft seroma after having undergone elective, open abdominal aortic aneurysm repair with a polytetrafluoroethylene graft 5 years previously. One year after graft implantation, she started to suffer from abdominal discomfort and was therefore offered surgical intervention, which she declined owing to the fear of postoperative complications. Instead, an observational strategy was used. Five years later, the patient presented with sudden severe abdominal pain. Subsequent laparotomy revealed that the pseudomembrane lining the perigraft seroma had penetrated through the native aortic wall and into the intraperitoneal cavity, where it had ruptured. The patient was successfully treated by replacing the polytetrafluoroethylene graft with a polyethylene terephthalate (Dacron) graft.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Perigraft seroma penetrating the aortic sac and rupturing into the intraperitoneal cavity

Broda

Budtz-Lilly

Vammen

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…Asymptomatic PS can be managed conservatively but most reported cases are usually managed surgically since most PS are only detected when they have become symptomatic. 9…”

Section: Discussionmentioning

confidence: 99%

“…More conservative management modes such as percutaneous drainage have been reported to have higher incidence of recurrence and increased risk of graft infection. 9 Conversely, surgical resection has been reported to aid in avoiding potential serious complications including infection, graft thrombosis, the need for repeat FPB grafting, as well as expanding seroma causing pressure necrosis and erosion through the skin. 7 This case shows the necessity of ongoing monitoring of patients who have had vascular procedures utilizing prosthetic grafts.…”

Section: Discussionmentioning

confidence: 99%

Periprosthetic seroma occurrence after femoropopliteal bypass grafting: Surgical management after failure of non-surgical measures in relieving symptoms

2020

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Objective Periprosthetic seroma is a rare complication of femoropopliteal bypass grafting. Periprosthetic seroma can be defined as the collection of non-infected serous fluid around a prosthetic arterial graft. There is a dearth of literature on how to manage periprosthetic seroma occurrence after femoropopliteal bypass especially in patients whose symptoms do not improve with typical conservative measures. Method/Results: This report highlights the case of a 70-year-old patient who had a femoropopliteal bypass using a 6 mm Propaten graft for peripheral arterial disease. The patient subsequently presented with leg edema. Leg ultrasound and computed tomography arteriogram showed a periprosthetic seroma with a patent graft. Patient was initially managed conservatively and semi-conservatively and ultimately with aggressive therapy utilizing exploration and surgical resection of the seroma capsule. Conclusion Only surgical resection of the seroma capsule produced definitive resolution of the seroma and symptoms. Thigh exploration and surgical resection can be considered as part of the management modalities of periprosthetic seroma occurring after femoropopliteal bypass especially in patients who do not respond to typical conservative measures such as elevation, compression stockings, and diuretics.

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Perigraft Seroma after Extra-anatomic Bypass: Case Series and Review of the Literature

Bissacco

Domanin

Romagnoli

et al. 2017

Annals of Vascular Surgery

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Our case series and the literature confirm that the most widely used therapy is the surgical drainage with primary or secondary replacement of the graft of a different material. Percutaneous drainage has proved to be ineffective because not conclusive and potential to increase risk of graft infection. Careful follow-up, even years after surgery, remains necessary for PS diagnosis and management, to prevent complications and potential infection.

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Giant Perigraft Seroma after Axillobifemoral Bypass for Leriche’s Syndrome: A Case Report

Cited by 5 publications

References 6 publications

Perigraft seroma penetrating the aortic sac and rupturing into the intraperitoneal cavity

Perigraft seroma penetrating the aortic sac and rupturing into the intraperitoneal cavity

Periprosthetic seroma occurrence after femoropopliteal bypass grafting: Surgical management after failure of non-surgical measures in relieving symptoms

Perigraft Seroma after Extra-anatomic Bypass: Case Series and Review of the Literature

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