Femoral blowout in a case of Carcinoma Penis

• Main Authors: Nikhil Panse, Parag Sahasrabudhe, Bhalchandra Kashyapi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2012-01-01
• Series: Indian Journal of Urology
• Subjects: Anterolateral thigh perforator flap; penile carcinoma; femoral blowout
• Online Access: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2012;volume=28;issue=3;spage=325;epage=328;aulast=Panse

There is considerable literature on the potential for a femoral blowout in case of fungating inguinal lymph nodes in a case of penile carcinoma. However, reported cases of actual femoral blowout are sparse in literature. We encountered one such case of femoral blowout because of fungating inguinal lymph nodes in a case of Ca.Penis. Emergency palliative resection of the fungating nodes, ligation of the femoral vein, and emergency flap cover in the form of a perforator-based anterolateral thigh flap was performed. We believe that patients with a potential of femoral blowout should undergo resection and suitable coverage to prevent fatal hemorrhage.