Sac enlargement due to perigraft seroma and back-bleeding from the remnant wall 11 years after open surgical repair of an infected abdominal aortic aneurysm

Kazumasa Hanada, MD; Katsuyuki Hoshina, MD, PhD; Masamitsu Suhara, MD, PhD; Ryosuke Taniguchi, MD, PhD; Mitsuru Matsukura, MD, PhD; Toshio Takayama, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Jun 2022)

Sac enlargement due to perigraft seroma and back-bleeding from the remnant wall 11 years after open surgical repair of an infected abdominal aortic aneurysm

Kazumasa Hanada, MD,
Katsuyuki Hoshina, MD, PhD,
Masamitsu Suhara, MD, PhD,
Ryosuke Taniguchi, MD, PhD,
Mitsuru Matsukura, MD, PhD,
Toshio Takayama, MD, PhD

Affiliations

Kazumasa Hanada, MD: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Katsuyuki Hoshina, MD, PhD: Correspondence: Katsuyuki Hoshina, MD, PhD, Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan; Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Masamitsu Suhara, MD, PhD: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Ryosuke Taniguchi, MD, PhD: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Mitsuru Matsukura, MD, PhD: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Toshio Takayama, MD, PhD: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

Journal volume & issue: Vol. 8, no. 2
pp. 136 – 139

Abstract

Read online

We describe a case of sac enlargement that occurred 11 years after emergent open surgical repair of an infected abdominal aortic aneurysm. The diameter of the sac covering the Dacron graft had gradually expanded to 80 mm, and the flow of contrast medium into the sac was suspected. Elective surgery revealed a perigraft seroma and back-bleeding from the remnant wall. After attaining hemostasis, fibrin glue and oxidized cellulose were applied, and sac plication was performed. Thereafter, the sac has not expanded. Open diagnostic treatment should be a good option for cases of postoperative sac enlargement with an unknown origin.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

About the journal

Abstract

Keywords