Perigraft seroma is a very rare postoperative complication following abdominal aortic aneurysm repair. A 74-year-old man with history of esophageal cancer surgery, underwent Gore-Tex graft replacement for an abdominal aortic aneurysm. A 50-mm perigraft seroma was noted one year later, increasing to over 70 mm in the next 6 months. We resected the Gore-Tex graft and replaced it with a Dacron graft via a repeat laparotomy. We observed the resected Gore-Tex graft in detail using electron microscopy to investigate the mechanism of perigraft seroma.
CuffRFThomasJH. Recurrent symptomatic aortic sac seroma after open abdominal aneurysm repair. J Vasc Surg2005; 41: 1058–1060.
4.
KadakolAKNypaverTJLinJC. Frequency, risk factors, and management of perigraft seroma after open abdominal aortic aneurysm repair. J Vasc Surg2011; 54: 637–643.
5.
KondoYMutoADardikANishibeMNishibeT. Perigraft seroma after surgical aortoiliac aneurysm repair with knitted polyester grafts: reports of two cases. Ann Vasc Dis2009; 2: 44–46.
6.
AndoMIgariTYokoyamaHSastokawaH. CT features of chronic contained rupture of an abdominal aortic aneurysm. Ann Thorac Cardiovasc Surg2003; 9: 274–278.
