Vasc Spec Int.  2014 Sep;30(3):91-93. 10.5758/vsi.2014.30.3.91.

Hypogastric Artery Transposition to Restore the Arterial Flow after Resection of the External Iliac Artery

• Joh JH
• Choi SI
• Kim SH
• Park HC

• KMID: 1910056
• DOI: http://doi.org/10.5758/vsi.2014.30.3.91

Abstract

Tumors in the pelvic cavity frequently involve the iliac vessels. Common and external iliac arteries should be reconstructed to restore the flow to the lower extremity if the tumor directly invades these arteries. We report herein a 58-year-old female patient with a 10x11 cm, recurred uterine leiomyosarcoma. We performed en bloc resection of the tumor mass including the sigmoid colon, left ureter and 5 cm of the left external iliac artery. After complete resection, restoration of arterial flow to the lower extremity was made with a novel strategy of hypogastric artery transposition. There was no evidence of tumor recurrence or vascular insufficiency at 12 months after surgery.

Keyword

Transposition; Hypogastric artery; Reconstruction; Leiomyosarcoma

MeSH Terms

Arteries*
Colon, Sigmoid
Female
Humans
Iliac Artery*
Leiomyosarcoma
Lower Extremity
Middle Aged
Recurrence
Ureter