We present an unusual case of a 74-year-old woman who presented with a pseudoaneurysm at the site of a previous prosthetic femoro-popliteal bypass graft and underwent an urgent repair with pseudoaneurysm excision and extra-anatomic placement of an autologous venous graft. Microbiology examination revealed Aspergillus fumigatus infection of the graft, which is a very rare condition. Long-term antifungal medication has been administrated with positive outcome. Only a few cases have been reported in literature, mainly involving aortic grafts. Most patients are immunocompetent and with late presentation. Successful outcome can only be achieved with long-term antifungal treatment and extra-anatomic replacement of the graft.

Background: Chronic ulceration of the lower leg is a frequent condition, with prevalence in the population over 60 years of age. The incidence of ulceration is rising as a result of the ageing population and increased risk factors for atherosclerotic occlusion such as smoking, obesity and diabetes. The main causes are venous valve insufficiency, lower extremity arterial disease and diabetes, less frequent conditions are infection, Vasculitis, skin malignancies and ulcerating skin diseases such as Pyoderma Gangrenosum. For a proper treatment of patients with leg ulcers it is important to be aware of the large differential diagnosis of leg ulceration and to effectively manage the conditions. Aims and objectives: To study the clinical features of various types of leg ulcers, types of investigation and its management of leg ulcers among the study group. Methods: Prospective study of 200 cases of chronic leg ulcers admitted at Government general hospital, Guntur during the period September 2016 to October 2018 with regular dressing, debridement, treating the underlying systemic disease, skin grafting and amputation were done. Results: In a study group of 200 cases, most of the patients with leg ulcers had an underlying systemic disease such as diabetes mellitus, venous Valvular insufficiency, arterial occlusion secondary to atherosclerosis, leprosy and malignancy.