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A rare complication of testicular infarction after femorofemoral bypass highlighting the importance of surgical technique.
Manvar-Singh, Pallavi; Segal, Michael; Etkin, Yana; Dodla, Ranjith; Landis, Gregg; Krishnasastry, Kambhampaty V; Frankini, Larry.
Afiliación
  • Manvar-Singh P; Division of Vascular Surgery, Department of Surgery, Northwell Health, New Hyde Park, NY, USA.
  • Segal M; Department of Surgery, Wyckoff Heights Medical Center, Brooklyn, NY, USA.
  • Etkin Y; Division of Vascular Surgery, Department of Surgery, Northwell Health, New Hyde Park, NY, USA.
  • Dodla R; Division of Vascular Surgery, Department of Surgery, Northwell Health, New Hyde Park, NY, USA.
  • Landis G; Division of Vascular Surgery, Department of Surgery, Northwell Health, New Hyde Park, NY, USA.
  • Krishnasastry KV; Division of Vascular Surgery, Department of Surgery, Northwell Health, New Hyde Park, NY, USA.
  • Frankini L; Division of Vascular Surgery, Department of Surgery, Northwell Health, New Hyde Park, NY, USA.
J Surg Case Rep ; 2019(11): rjz271, 2019 Nov.
Article en En | MEDLINE | ID: mdl-31737243
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.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Surg Case Rep Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Surg Case Rep Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido