title: Femoral vein obturator bypass revascularization in groin infectious bleeding: two case reports and review of the literature.
abstract: BACKGROUND
  Groin infections resulting in arterial bleeding due to bacterial vessel destruction are a severe challenge in vascular surgery. Patients with them most often present as emergencies and therefore need individualized reconstruction solutions.
  
  
  METHODS
  Case 1 is a 67-year-old man with infectious bleeding after an autologous reconstruction of the femoral bifurcation with greater saphenous vein due to infection of a bovine pericard patch after thrombendarterectomy. Case 2 is a 35-year-old male drug addict and had severe femoral bleeding and infection after repeated intravenous and intra-arterial substance abuse. Both patients were treated with an autologous obturator bypass of the superficial femoral vein. We review the current literature and highlight our therapeutic concept of this clinical entity.
  
  
  CONCLUSIONS
  Treatment should include systemic antibiotic medication, surgical control of the infectious site, revascularization and soft tissue repair. An extra-anatomical obturator bypass with autologous superficial femoral vein should be considered as the safest revascularization procedure in infections caused by highly pathogenic bacteria.
authors.affiliation: Department of General, Visceral, Vascular and Paediatric Surgery University Clinic of Würzburg, Oberdürrbacher Strasse 6, Würzburg, D-97080, Germany. busch_a2@chirurgie.uni-wuerzburg.de.
authors.forename: Albert
authors.initials: A
authors.lastname: Busch
authors.forename: Udo
authors.initials: U
authors.lastname: Lorenz
authors.forename: George Christian
authors.initials: GC
authors.lastname: Tiurbe
authors.forename: Christoph
authors.initials: C
authors.lastname: Bühler
authors.forename: Richard
authors.initials: R
authors.lastname: Kellersmann