A Case of Large Recurrent Perigraft Seroma after Axillobifemoral Bypass

Abstract

Introduction

Perigraft seroma is an uncommon complication of vascular reconstructive surgery. We report a case of a large recurrent seroma related to an axillobifemoral bypass.

Case report

A 79-year-old male patient developed a large seroma in his left flank and suprapubic region after an axillobifemoral bypass. The seroma was so large that it prevented the patient from bending. It recollected twice after drainage, which led to the decision to remove the graft and to replace it with a different synthetic material.

Discussion

Seromas are suspected when there is a sterile mass in relation to a bypass graft. To our knowledge, this is one of the larger seromas related to axillobifemoral bypass documented in published literature, reaching a size such that it interfered with the patient's physical functioning.