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

Youcef Lounes (1, 2) , Baris Ozdemir (1) , Pierre Alric (1, 3) , Ludovic Canaud (4, 1, 2)

1 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
2 UM - Université de Montpellier
3 PhyMedExp - Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046]
4 Service de chirurgie thoracique et cardio-vasculaire

Introduction: Infections 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. Report: A 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. Discussion: The post-operative course was uneventful with complete resolution of tissue loss at one year follow up

Mots clés: Wound infection; Trans-iliac bypass; Extra-anatomical bypass; Critical limb ischaemia

Domaines: Chirurgie; Maladies infectieuses

Youcef Lounes, Baris Ozdemir, Pierre Alric, Ludovic Canaud. Trans-iliac Bypass for Critical Limb Ischaemia with Groin Necrosis: A Case Report. EJVES Short Reports, 2019, 42, pp.31-33. ⟨10.1016/j.ejvssr.2019.01.002⟩. ⟨hal-02092460⟩