Background: The incidence of infected femoral artery pseudoaneurysms is likely to increase with increasing numbers of femoral artery interventions.
Methods: Case report and review of literature.
Results: We present a case of dehiscence of a vein patch repair of an infected femoral pseutoaneurysm treated with ligation of vessels and coverage by rectus abdominis muscle flap.
Conclusion: We consider the use of this flap as a good second line option for the coverage of exposed femoral vessels, in the presence of sepsis, particularly when the external iliac artery has been ligated.