[Axillo-femoral bypass--an emergency operation]

Our patient with peritonitis, chronical ileus and ileostoma has had the atherosclerotic occlusive changes in aorto-iliac area on both sides. Hypotensive crises must have made hemodynamic conditions worse, permitting thrombosis in the collateral circulation to cause acute ischemia of the right leg. Because of the bad general condition and infection on the anterior abdomen wall, the axillo-femoral bypass has been the only way for the arterial reconstruction and salvation of the leg.