Saphenous vein wrapping for the treatment of a perigraft seroma: Report of a case

A 61-year-old man who had undergone an iliofemoral bypass with an expanded polytetrafluoroethylene (PTFE) graft was readmitted to our hospital for the investigation and treatment of a possible complication of the surgery. A tender, pulsatile, bulging mass, about the size of an adult fist, was palpat...

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Veröffentlicht in:Surgery today (Tokyo, Japan) Japan), 2011-04, Vol.41 (4), p.549-551
Hauptverfasser: Imren, Yildirim, Qaradaghi, Lawand, Oktar, Gursel Levent, Ereren, Emrah, Tumer, Naim Boran
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container_end_page 551
container_issue 4
container_start_page 549
container_title Surgery today (Tokyo, Japan)
container_volume 41
creator Imren, Yildirim
Qaradaghi, Lawand
Oktar, Gursel Levent
Ereren, Emrah
Tumer, Naim Boran
description A 61-year-old man who had undergone an iliofemoral bypass with an expanded polytetrafluoroethylene (PTFE) graft was readmitted to our hospital for the investigation and treatment of a possible complication of the surgery. A tender, pulsatile, bulging mass, about the size of an adult fist, was palpated around the left lower abdominal region. Diagnostic procedures showed a large low-density area around the PTFE graft and angiography revealed a patent graft with no anastomotic leakage. An operative inspection revealed the mass to be a large perigraft seroma. The PTFE graft was covered with a saphenous vein strip, a treatment that has not previously been mentioned in the literature. The success of this strategy was confirmed by clinical observations and diagnostic procedures including ultrasonography and computed tomography, with no sign of recurrence for 5 months.
doi_str_mv 10.1007/s00595-009-4302-4
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subjects Angiography
Aortic Aneurysm, Abdominal - surgery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Case Report
Diagnosis, Differential
Humans
Iliac Artery - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Polytetrafluoroethylene
Postoperative Complications - diagnosis
Postoperative Complications - surgery
Saphenous Vein - transplantation
Seroma - diagnosis
Seroma - surgery
Surgery
Surgical Oncology
title Saphenous vein wrapping for the treatment of a perigraft seroma: Report of a case
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