[Spontaneous rupture of the femoral artery after radiotherapy: a case report].
Radiation-induced arteriopathy is a well-known disease whose incidence is not known and which usually arises chronically many years after radiation therapy. When it arises acutely, spontaneous rupture or, more rarely, thrombosis of the involved vessel may occur. Spontaneous rupture can occur within 4 to 32 weeks of radiotherapy, and usually affects the carotid artery involved in radiotherapy of the neck and head. Spontaneous rupture of the femoral artery is a very rare event and only a few cases have been reported in the literature. In this paper we report a case of spontaneous rupture of the left femoral superficial artery after adjuvant radiotherapy following surgery for a liposarcoma of the spermatic cord with multiple local recurrences, successfully treated with an extra-anatomic bypass through the obturator canal and rectal muscle flap.
Veraldi
Gian Franco
GF
I Divisione Clinicizzata di Chirurgia Generale, Struttura Semplice Organizzativa di Chirurgia Vascolare, II Scuola di Specializzazione in Chirurgia Generale, Università degli Studi di Verona.
Genco
Bruno
B
Governa
Maurizio
M
Gilioli
Eliana
E
Zecchinelli
Marco Paolo
MP
Minicozzi
Anna Maria
AM
Segattini
Christian
C
D000369:Aged, 80 and over; D005263:Femoral Artery / Q000528:radiation effects* / Q000601:surgery*; D005834:Genital Neoplasms, Male / Q000532:radiotherapy / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000637:transplantation*; D008080:Liposarcoma / Q000532:radiotherapy / Q000601:surgery; D008297:Male; D018482:Muscle, Skeletal / Q000637:transplantation*; D009364:Neoplasm Recurrence, Local / Q000532:radiotherapy / Q000601:surgery; D018714:Radiotherapy, Adjuvant / Q000009:adverse effects*; D012422:Rupture, Spontaneous / Q000209:etiology; D013085:Spermatic Cord; D013524:Surgical Flaps; D014182:Transplantation, Autologous; D016896:Treatment Outcome