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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. [ABSTRACT FROM AUTHOR]