title: A Case of Femoral Arterial Bleeding by an Unknown Origin Metastatic Groin Lymph Nodes Carcinoma.
abstract: We report a case of femoral arterial bleeding complicated with hemorrhagic shock caused by bacterial infection attributed to an inguinal lymph node metastasis of carcinoma of unknown primary. Because of severe preoperative condition, a venous patch plasty of ruptured artery, and omentopexy for the groin was performed as a less invasive surgery. But the recurrence of bleeding was occurred postoperatively. A staged operation, hemostasis with a venous patch plasty at a first stage, and an extra-anatomical bypass soon after improvement of shock condition in a second stage, can be one of surgical procedures to save the lives and salvage limbs.
authors.affiliation: Department of Cardiovascular Surgery, St. Mary's Hospital, Kurume, Fukuoka, Japan.
authors.forename: Eiji
authors.initials: E
authors.lastname: Nakamura
authors.affiliation: Department of Cardiovascular Surgery, St. Mary's Hospital, Kurume, Fukuoka, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Oda
authors.affiliation: Department of Cardiovascular Surgery, St. Mary's Hospital, Kurume, Fukuoka, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yasunaga
authors.affiliation: Department of Cardiovascular Surgery, St. Mary's Hospital, Kurume, Fukuoka, Japan.
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Aoyagi
keywords: femoral arterial bleeding; groin infection; groin lymph nodes