title: Emergency endovascular management of the common femoral artery rupture due to radiotherapy for scrotal carcinoma.
abstract: We describe the case of a 72-year-old man with massive hemorrhage and shock resulting from rupture of the left common femoral artery as a complication of radiotherapy in the groin for cancer of the scrotum. This complication is extremely rare, presents dramatically, and is usually fatal. The patient was successfully treated with a stent graft deployment in order to achieve immediate hemostasis maintaining blood flow to the leg. Open surgery is not ideal in those cases especially when there is extensive tumor involvement of the groin causing altered anatomy and increasing the risk of re-bleeding.
authors.affiliation: Department of Vascular and Endovascular Surgery, University Federico II of Naples, Naples, Italy.
authors.forename: Umberto Marcello
authors.initials: UM
authors.lastname: Bracale
authors.affiliation: Department of General Surgery, University Federico II of Naples, Naples, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Merola
authors.affiliation: Department of Vascular and Endovascular Surgery, University Federico II of Naples, Naples, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Del Guercio
authors.affiliation: Department of General Surgery, University Federico II of Naples, Naples, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Sodo
authors.affiliation: Department of Vascular and Endovascular Surgery, University Federico II of Naples, Naples, Italy.
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Giribono
authors.affiliation: Department of General Surgery, University Federico II of Naples, Naples, Italy.
authors.forename: Umberto
authors.initials: U
authors.lastname: Bracale
keywords: Stents; angiography; primary neoplasms; radiation effects; scrotum; vascular