J Gynecol Oncol.  2010 Dec;21(4):276-278. 10.3802/jgo.2010.21.4.276.

Combined open surgical and endovascular management of ruptured femoral artery from recurrent vulvar cancer

• Trompetas
• Sandison A
• Anderson H

• KMID: 2173554
• DOI: http://doi.org/10.3802/jgo.2010.21.4.276

Abstract

We report on the case of a 50-year-old woman with exsanguinating haemorrhage from the common femoral artery as a complication of recurrent vulvar cancer in the groin which was managed successfully with combined open surgical and endovascular intervention. She survived another three months and died from progressive disease without further episodes of bleeding. This complication is rare, presents dramatically, and is usually a terminal event. For those cases where intervention is considered appropriate, the option of combined open surgical and endovascular repair should be kept in mind.

Keyword

Vulvar cancer; Femoral artery rupture; Endovascular repair

MeSH Terms

Female
Femoral Artery
Groin
Hemorrhage
Humans
Middle Aged
Vulvar Neoplasms

Figure

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  Fig. 1 (A) Occlusion of the superficial femoral artery at its origin (arrow). (B) Two 8 mm by 20 mm covered stents (Wallgraft™ Endoprosthesis) deployed across the bifurcation of the common femoral artery into the profunda femoris artery, extravasation of contrast (arrow). (C) Completion angiogram, stented segment is widely patent with no extravasation of contrast.

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