title: Extra-anatomic lateral bypass combined with embolization of the femoral stump for management of groin infection and bleeding due to metastatic carcinoma of the penis.
abstract: We report a possible treatment strategy for a patient with squamous cell carcinoma of the penis in hemorrhagic shock, due to erosion of the right femoral artery by metastatic inguinal lymph nodes. Because of coexistent groin infection and the inability to perform radical excision, the patient was treated with a lateral extra-anatomic iliac femoral prosthetic bypass; to prevent further bleeding, the femoral stump was embolized percutaneously. The patient was discharged home and did not experience any vascular complications during the follow-up, until death due to pulmonary metastasis.
authors.affiliation: Division of Vascular Surgery, Ospedale San Giovanni Bosco, Piazza del Donatore del Sangue 3, 10154 Turin, Italy. andrea.agostinucci@virgilio.it
authors.forename: Andrea
authors.initials: A
authors.lastname: Agostinucci
authors.forename: Nadia
authors.initials: N
authors.lastname: Sandrone
authors.forename: Claudio
authors.initials: C
authors.lastname: Baracco
authors.forename: Ferruccio
authors.initials: F
authors.lastname: Ferrero
mesh_terms: D019917:Blood Vessel Prosthesis Implantation; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000556:secondary; D003131:Combined Modality Therapy; D003141:Communicable Diseases / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic; D017809:Fatal Outcome; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006119:Groin; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008026:Ligation; D008175:Lung Neoplasms / Q000556:secondary; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010412:Penile Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome