Management of Giant Groin Mass

Abstract

A 66-year-old male presented with intermittent cardiac ischemia and underwent evaluation for revascularization. Preoperatively, he was discovered to have a 33 × 16 cm locally invasive groin mass that had been present for ∼20 years. He was disqualified from CABG due to his giant, purulent mass, and underwent immediate coronary stenting with drug eluting stents, requiring chronic dual-antiplatelet therapy (DAPT). He continued to suffer recalcitrant purulent infection with chronic leukocytosis and developed intermittent bleeding that required recurrent transfusions and unsuccessful angioembolizations with profound impacts on his quality of life (Fig. 1).