Fatal Deep Inguinal Infection after Diagnostic Coronary Angiography

Abstract

Herein we would like to share our case complicated with inguinal infection secondary to femoral haematoma after coronary angiography. A-79 years-old female underwent diagnostic coronary angiography suffered from a large haematoma in the right inguinal region where femoral artery puncture was performed at another hospital. She was treated at same hospital 16 days and discharged. She presented to our department with a deep ulcerative and ruptured wound in the femoral artery puncture site. The wound-site culture revealed E. coli. After appropriate antibiotic treatment and wound care, the deep inguinal infection began healed. Purulan material and swallowing decreased and patient discharged. After 8 days, she came back with shock presentation and hospitalised to intensive care unit, but she died within 3 hours. We emphasised that the importance of prevention and management of access site haematoma during percutaneous procedures is vital and should not be neglected in routine practice.

Keywords

• groin infection
• coronary angiography