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Case Reports
. 2012 Jul;28(3):325-8.
doi: 10.4103/0970-1591.102715.

Femoral blowout in a case of Carcinoma Penis

Nikhil Panse  1 , Parag Sahasrabudhe, Bhalchandra Kashyapi
Affiliations
Case Reports

Femoral blowout in a case of Carcinoma Penis

Nikhil Panse et al. Indian J Urol. 2012 Jul.

Abstract

There is considerable literature on the potential for a femoral blowout in case of fungating inguinal lymph nodes in a case of penile carcinoma. However, reported cases of actual femoral blowout are sparse in literature. We encountered one such case of femoral blowout because of fungating inguinal lymph nodes in a case of Ca.Penis. Emergency palliative resection of the fungating nodes, ligation of the femoral vein, and emergency flap cover in the form of a perforator-based anterolateral thigh flap was performed. We believe that patients with a potential of femoral blowout should undergo resection and suitable coverage to prevent fatal hemorrhage.

Keywords: Anterolateral thigh perforator flap; femoral blowout; penile carcinoma.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Fungating nodal mass being resected with thrombus in situ
Figure 2
Figure 2
Defect created after excision of the nodal mass
Figure 3
Figure 3
Planning of the perforator-based anterolateral thigh flap
Figure 4
Figure 4
Harvested anterolateral thigh flap covering the defect
Figure 5
Figure 5
Well settled anterolateral thigh flap on the right side and fungating inguinal nodes on left side
Figure 6
Figure 6
Defect created after excision of nodal mass on the left side and gracilis flap being harvested
Figure 7
Figure 7
Gracilis muscle brought into the defect
Figure 8
Figure 8
Gracilis muscle skin grafted
See this image and copyright information in PMC

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