Vascular prosthesis infection is a serious diagnostic and therapeutic problem. Timely diagnosis and adequate treatment are essential for the patient’s future condition. We present a case report of a 60-year-old man with aortobifemoral prosthesis infection and with an aortoduodenal fistula. The prosthesis infection was confirmed by fluorodeoxyglucose positron emission tomography. Urgent surgery was indicated due to massive gastrointestinal bleeding. Because of lower limb ischaemia after removal of the infected bifurcation prosthesis, an implantation of an axillobifemoral bypass was performed in a one stage procedure. 8 months after the surgery, the patient is in good condition without walking limitation.

        Key words: aorto-enteric fistula – vascular prosthesis infection – FDG-PET – axillobifemoral bypass