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. 2010 Dec 30;21(4):276-8.
doi: 10.3802/jgo.2010.21.4.276. Epub 2010 Dec 31.

Combined open surgical and endovascular management of ruptured femoral artery from recurrent vulvar cancer

Vasileios Trompetas  1 , Andrew Jp Sandison, Hugh J Anderson
Affiliations

Combined open surgical and endovascular management of ruptured femoral artery from recurrent vulvar cancer

Vasileios Trompetas et al. J Gynecol Oncol. .

Abstract

We report on the case of a 50-year-old woman with exsanguinating haemorrhage from the common femoral artery as a complication of recurrent vulvar cancer in the groin which was managed successfully with combined open surgical and endovascular intervention. She survived another three months and died from progressive disease without further episodes of bleeding. This complication is rare, presents dramatically, and is usually a terminal event. For those cases where intervention is considered appropriate, the option of combined open surgical and endovascular repair should be kept in mind.

Keywords: Endovascular repair; Femoral artery rupture; Vulvar cancer.

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Conflict of interest statement

The authors declare there are no conflicts of interest relevant to this article.

Figures

Fig. 1
Fig. 1
(A) Occlusion of the superficial femoral artery at its origin (arrow). (B) Two 8 mm by 20 mm covered stents (Wallgraft™ Endoprosthesis) deployed across the bifurcation of the common femoral artery into the profunda femoris artery, extravasation of contrast (arrow). (C) Completion angiogram, stented segment is widely patent with no extravasation of contrast.
See this image and copyright information in PMC

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