Large Perigraft Seroma After Aortoiliac Bypass with an Expanded Polytetrafluoroethylene Graft: Report of a Case |
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Authors: | Takaki Sugimoto Takashi Kitade Hironobu Nishikawa Takashi Koyama Takeshi Hatta Shigeru Kurisu |
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Affiliation: | (1) Department of Surgery, Hyogo Prefectural Awaji Hospital, Sumoto, Hyogo, 656-0013, Japan |
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Abstract: | A 63-year-old man who had undergone aortoiliac bypass with an expanded polytetrafluoroethylene (PTFE) graft was referred to our hospital for investigation and treatment of a possible pseudoaneurysm of the abdominal aorta. A tender, pulsatile, and bulging mass, about the size of an adult fist, was palpated around the navel. Enhanced computed tomography (CT) showed a large low-density area around the abdominal aorta and PTFE graft, and aortography showed a patent graft with no anastomotic leakage. Operative inspection revealed that the pulsatile mass was a large perigraft seroma, and we replaced the PTFE graft with a new woven Dacron graft. The patient has been well with no sign of recurrence for 1 year, although close long-term follow-up is mandatory. |
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Keywords: | Perigraft seroma Aortoiliac bypass Polytetrafluoroethylene |
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