Fluoroscopy-induced chronic radiation dermatitis (FICRD) after endovascular abdominal aortic aneurysm endoleak repair

F luoroscopy use has increased recently because of the growing use of minimally invasive surgical procedures. Fluoroscopy, and other procedures using radiation exposure, can induce acute and chronic skin damage. Diagnosis of fluoroscopy-induced chronic radiation dermatitis (FICRD) is challenging as patients are sometimes unaware of exposure to radiation and presentation often occurs after months or years. Early recognition is important to optimize both therapy and surveillance for radiation-induced malignancies. We present a case of a 72-year-old manwith a greater than 1-year history of a nonhealing ulcer on the back. He had a history of endovascular abdominal aortic aneurysm repair with subsequent endoleak repairs, which required intraoperative use of fluoroscopy.