Trans-iliac Bypass for Critical Limb Ischaemia with Groin Necrosis: A Case Report

Abstract

IntroductionInfections at the level of the groin involving native or prosthetic vessels are typically bypassed using the obturator canal. However, extensive wounds or infections, particularly those involving the medial compartment of the thigh, can preclude this approach.ReportA 66 year old male with diabetes mellitus presented after several previous revascularisations of the femoral artery with extensive necrosis of the groin and critical limb ischaemia with necrotic changes in the toes. An iliopopliteal bypass through the iliac wing was planned because of the extent of the infection.DiscussionThe post-operative course was uneventful with complete resolution of tissue loss at one year follow up.

Right axillopopliteal artery bypass using a combined transiliac and lateral popliteal approach for groin infection and lymph fistula

“…The combined treatment of critical limb ischemia and recurrent infection presents challenges for vascular surgery. 1 , 2 , 3 In this case, we successfully managed the wound infection in the groin after axillofemoral artery bypass grafting, using a combination of transiliac bypass and lateral popliteal approach. 4 , 5 …”