Abstract
Infections at groin level are a relatively frequent complication associated to the use of prosthetic grafts in vascular practice. Sometimes it may be a threatening pathology depending on the virulence of the involved germs and the patients´ general health state. In these cases, the gold standard management implies the graft resection and aggressive removal of the affected tissues, in addition to broad spectrum antibiotic therapy. Since restoration of the flow is mandatory in order to avoid the leg ischemia, a new extra-anatomical route is recommended to prevent the infected field. Objective: We report a clinical case of a partially infected aorto-bifemoral by-pass graft successfully treated by the restitution of the infected part with an obturator by pass graft, a technique barely performed in surgical practice. Conclusion: In case of groin infection in patients undergoing a prosthetic by-pass graft, the obturator foramen is a good alternative to keep the new graft away from infected tissues. Good anatomy knowledge and some surgical skills are required to make it properly. Keywords: Groin Infection; Aorto-bifemoral by-pass graft; Extra-anatomical route; Obturator foramen
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