A rare complication of testicular infarction after femorofemoral bypass highlighting the importance of surgical technique. Issue 11 (11th November 2019)

• Record Type: Journal Article
• Authors: Manvar-Singh, Pallavi; Segal, Michael; Etkin, Yana; Dodla, Ranjith; Landis, Gregg; Krishnasastry, Kambhampaty V; Frankini, Larry
• Is Part Of: Journal of surgical case reports. Volume 2019:Issue 11(2019)
• Publication Date: 2019-11-11
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjz271
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: We present an interesting case of a 66-year-old male who had acute testicular infarction following a right common femoral artery to left profunda femoris artery bypass with advanced symptoms of claudication. Angiography in the preoperative period demonstrated the extent of peripheral arterial disease present, revealing a calcified aorta, partially occluded left hypogastric artery, occluded left external iliac, common femoral and superficial femoral arteries and an occluded right hypogastric artery. A bypass was performed without any initial complications and subsequent relief of symptoms of claudication and rest pain. Postoperative scrotal pain and follow-up duplex demonstrated lack of perfusion of the testicle necessitating orchiectomy. This case serves to illustrate the importance of preserving collateral vessels as a technical consideration, as well as presenting a rare potential complication.