Large perigraft seroma after aortoiliac bypass with an expanded polytetrafluoroethylene graft: report of a case.
A 63-year-old man who had undergone aortoiliac bypass with an expanded polytetrafluoroethylene (PTFE) graft was referred to our hospital for investigation and treatment of a possible pseudoaneurysm of the abdominal aorta. A tender, pulsatile, and bulging mass, about the size of an adult fist, was palpated around the navel. Enhanced computed tomography (CT) showed a large low-density area around the abdominal aorta and PTFE graft, and aortography showed a patent graft with no anastomotic leakage. Operative inspection revealed that the pulsatile mass was a large perigraft seroma, and we replaced the PTFE graft with a new woven Dacron graft. The patient has been well with no sign of recurrence for 1 year, although close long-term follow-up is mandatory.
Sugimoto
Takaki
T
Department of Surgery, Hyogo Prefectural Awaji Hospital, Sumoto, Hyogo 656-0013, Japan.
Kitade
Takashi
T
Nishikawa
Hironobu
H
Koyama
Takashi
T
Hatta
Takeshi
T
Kurisu
Shigeru
S
D001012:Aorta, Abdominal / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D049291:Seroma / Q000209:etiology* / Q000601:surgery
D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene