Sac enlargement due to perigraft seroma and back-bleeding from the remnant wall 11 years after open surgical repair of an infected abdominal aortic aneurysm

Kazumasa Hanada; Katsuyuki Hoshina; Masamitsu Suhara; Ryosuke Taniguchi; Mitsuru Matsukura; Toshio Takayama

doi:10.1016/j.jvscit.2022.01.006

Sac enlargement due to perigraft seroma and back-bleeding from the remnant wall 11 years after open surgical repair of an infected abdominal aortic aneurysm

J Vasc Surg Cases Innov Tech. 2022 Feb 8;8(2):136-139. doi: 10.1016/j.jvscit.2022.01.006. eCollection 2022 Jun.

Authors

Kazumasa Hanada¹, Katsuyuki Hoshina¹, Masamitsu Suhara¹, Ryosuke Taniguchi¹, Mitsuru Matsukura¹, Toshio Takayama¹

Affiliation

¹ Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Abstract

We describe a case of sac enlargement that occurred 11 years after emergent open surgical repair of an infected abdominal aortic aneurysm. The diameter of the sac covering the Dacron graft had gradually expanded to 80 mm, and the flow of contrast medium into the sac was suspected. Elective surgery revealed a perigraft seroma and back-bleeding from the remnant wall. After attaining hemostasis, fibrin glue and oxidized cellulose were applied, and sac plication was performed. Thereafter, the sac has not expanded. Open diagnostic treatment should be a good option for cases of postoperative sac enlargement with an unknown origin.

Keywords: Abdominal aortic aneurysm; Complication; Endoleak; Perigraft hygroma; Perigraft seroma.

Publication types

Case Reports