Related Experiment Video

Updated: Jan 27, 2026

Intra-iliac Artery Injection for Efficient and Selective Modeling of Microscopic Bone Metastasis
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Published on: September 26, 2016

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Trans-iliac Bypass for Critical Limb Ischaemia with Groin Necrosis: A Case Report

Youcef Lounes1, Baris A Ozdemir1, Pierre Alric1

  • 1Vascular and Thoracic Surgery, CHRU of Montpellier, France.

EJVES Short Reports
|April 2, 2019
PubMed

Insights

This case report details a novel iliopopliteal bypass through the iliac wing for extensive groin infection and critical limb ischemia, offering a viable alternative when standard obturator bypass is not feasible.

Area of Science:

  • Vascular Surgery
  • Infectious Disease Management
  • Reconstructive Surgery

Background:

  • Groin infections involving native or prosthetic vessels often necessitate bypass via the obturator canal.
  • Extensive wounds or infections, particularly in the medial thigh, can contraindicate the standard obturator bypass approach.

Purpose of the Study:

  • To present a case of a patient with extensive groin necrosis and critical limb ischemia.
  • To describe an alternative surgical technique for managing complex groin infections when standard bypass is not feasible.

Main Methods:

  • A 66-year-old male with diabetes mellitus and extensive femoral artery necrosis underwent an iliopopliteal bypass.
  • The bypass was performed through the iliac wing due to the extent of the infection, precluding obturator canal use.

Main Results:

  • The surgical procedure was successful in revascularizing the limb.
  • The patient experienced an uneventful postoperative course.

Conclusions:

  • Complete resolution of tissue loss was observed at one year follow-up.
  • Iliac wing bypass is a feasible alternative for managing extensive groin infections and critical limb ischemia when standard approaches are contraindicated.
Abstract

Keywords:
Critical limb ischaemiaExtra-anatomical bypassTrans-iliac bypassWound infection

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