Journal of Vascular and Endovascular Therapy

A Case of Orchiectomy after Femoral Artery PTA

High femoral arterial puncture above the groin ligament may cause different types of complications as pseudo aneurysm, hemorrhage involving retroperitoneal region, and groin region hematoma. We present a case of 70 years old man who was admitted to our Hospital and underwent left superficial femoral PTA. The post- procedural course was complicated by hematoma in the groin site of puncture, which led to the formation of a giant hematoma rapidly infiltrating the scrotal and right groin zone. It required surgical revision of the puncture site, evacuation of the hematoma, and radical right orchiectomy. The case reported suggests that patients in whom a hematoma in scrotal region arises after PTA should immediately accompanied into the operating room for a surgical evacuation without undergoing only to medical treatment because an early surgical treatment could reveal fundamental for organ spearing.

Author(s):

Francesca D Auria, Giulio Tessitore, Nicola Avossa and Mario Fabbrocini

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