case_images: PMC11011224_01
case_images: Necrosis of the pubic area on day 1.
case_images: ICRP_A_2337746_F0001_C.jpg
case_images: PMC11011224_01_ICRP_A_2337746_F0001_C.jpg
case_images: F0001
case_images: The central vascular catheter was immediately removed and the infusion was stopped, cold compresses and vaseline gauzes was applied (Figure 1).
case_images: The pubic area after excision necrosis and 20 days of NPWT.
case_images: ICRP_A_2337746_F0002_C.jpg
case_images: PMC11011224_01_ICRP_A_2337746_F0002_C.jpg
case_images: F0002
case_images: After three weeks of NPWT the necrotic area was excised (Figure 2).
case_images: Appearance of the thigh after the advancement flap.
case_images: ICRP_A_2337746_F0003_C.jpg
case_images: PMC11011224_01_ICRP_A_2337746_F0003_C.jpg
case_images: F0003
case_images: At this stage we performed an advancement flap from the thigh to cover the femoral vessels exposed and NPWT was reapplied on the pubic area (Figure 3).
case_images: Appearance of the thigh after the skin graft.
case_images: ICRP_A_2337746_F0004_C.jpg
case_images: PMC11011224_01_ICRP_A_2337746_F0004_C.jpg
case_images: F0004
case_images: After three more weeks a skin graft was taken from the contralateral thigh to cover the pubic area and NPWT was reapplied for 7 days (Figure 4).
case_images: The residual seroma at the right inguinal level.
case_images: ICRP_A_2337746_F0005_C.jpg
case_images: PMC11011224_01_ICRP_A_2337746_F0005_C.jpg
case_images: F0005
case_images: The graft was almost completely attached within 10 days, except for a 2 x 2 cm area close to the groin at the most cranial portion of the advancement flap in continuity with the lower portion of the skin graft where there was a residual seroma (Figure 5).
case_images: Application of NPWT.
case_images: ICRP_A_2337746_F0006_C.jpg
case_images: PMC11011224_01_ICRP_A_2337746_F0006_C.jpg
case_images: F0006
case_images: Appearance of the thigh after removal of thrombosed portion of the femoral artery and femoral vein and the new advancement thigh flap.
case_images: ICRP_A_2337746_F0007_C.jpg
case_images: PMC11011224_01_ICRP_A_2337746_F0007_C.jpg
case_images: F0007
case_images: Appearance of the thigh after 9 months of follow-up.
case_images: ICRP_A_2337746_F0008_C.jpg
case_images: PMC11011224_01_ICRP_A_2337746_F0008_C.jpg
case_images: F0008
case_images: The patient received rehabilitation care with intensive physiotherapy and a prosthesis of the lower limb was packed to allow the patient to resume walking with aids (Figure 8).