Agostinucci Andrea, Sandrone Nadia, Baracco Claudio, Ferrero Ferruccio
Division of Vascular Surgery, Ospedale San Giovanni Bosco, Piazza del Donatore del Sangue 3, 10154 Turin, Italy.
Interact Cardiovasc Thorac Surg. 2011 May;12(5):860-2. doi: 10.1510/icvts.2010.258434. Epub 2011 Feb 11.
We report a possible treatment strategy for a patient with squamous cell carcinoma of the penis in hemorrhagic shock, due to erosion of the right femoral artery by metastatic inguinal lymph nodes. Because of coexistent groin infection and the inability to perform radical excision, the patient was treated with a lateral extra-anatomic iliac femoral prosthetic bypass; to prevent further bleeding, the femoral stump was embolized percutaneously. The patient was discharged home and did not experience any vascular complications during the follow-up, until death due to pulmonary metastasis.
我们报告了一名阴茎鳞状细胞癌患者在出血性休克状态下的一种可能治疗策略，该患者因转移性腹股沟淋巴结侵蚀右侧股动脉而处于出血性休克。由于存在腹股沟感染且无法进行根治性切除，该患者接受了外侧解剖外髂股人工血管旁路移植术；为防止进一步出血，经皮对股动脉残端进行了栓塞。患者出院回家，在随访期间未出现任何血管并发症，直至因肺转移死亡。
