title: Scrotal necrosis following endovascular abdominal aortic aneurysm repair.
abstract: Scrotal necrosis is an extremely rare complication following endovascular abdominal aortic aneurysm repair. Sloughing of scrotal skin and penile necrosis owing to therapeutic hypogastric artery occlusion for endoluminal aortoiliac aneurysm repair have been documented. We present herein one case of scrotal necrosis following endovascular abdominal aortic aneurysm repair. The presentation of combined scrotal necrosis, buttock ischemia, lower extremity livedo reticularis, and left blue toes with palpable pulses in the posterior tibial and dorsalis pedis arteries suggested that microembolization during endovascular aneurysm repair was the major cause of the devastating ischemic complications in this patient.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Loma Linda University, Loma Linda, CA, USA.
authors.forename: Wayne W
authors.initials: WW
authors.lastname: Zhang
authors.forename: Joe P
authors.initials: JP
authors.lastname: Chauvapun
authors.forename: Hasan H
authors.initials: HH
authors.lastname: Dosluoglu
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009336:Necrosis / Q000209:etiology; D012611:Scrotum / Q000473:pathology*; D012867:Skin / Q000473:pathology; D014656:Vascular Surgical Procedures / Q000009:adverse effects*