Zhang Wayne W, Chauvapun Joe P, Dosluoglu Hasan H
Division of Vascular Surgery, Department of Surgery, Loma Linda University, Loma Linda, CA, USA.
Vascular. 2007 Mar-Apr;15(2):113-6. doi: 10.2310/6670.2007.00016.
Scrotal necrosis is an extremely rare complication following endovascular abdominal aortic aneurysm repair. Sloughing of scrotal skin and penile necrosis owing to therapeutic hypogastric artery occlusion for endoluminal aortoiliac aneurysm repair have been documented. We present herein one case of scrotal necrosis following endovascular abdominal aortic aneurysm repair. The presentation of combined scrotal necrosis, buttock ischemia, lower extremity livedo reticularis, and left blue toes with palpable pulses in the posterior tibial and dorsalis pedis arteries suggested that microembolization during endovascular aneurysm repair was the major cause of the devastating ischemic complications in this patient.
阴囊坏死是血管腔内腹主动脉瘤修复术后极为罕见的并发症。文献记载了因腔内主髂动脉瘤修复术中治疗性髂内动脉闭塞导致阴囊皮肤脱落和阴茎坏死的情况。我们在此报告1例血管腔内腹主动脉瘤修复术后阴囊坏死的病例。阴囊坏死、臀部缺血、下肢网状青斑以及胫后动脉和足背动脉搏动可触及的左侧蓝趾综合征同时出现，提示血管腔内动脉瘤修复术中的微栓塞是该患者发生严重缺血性并发症的主要原因。
