血液透析患者前臂自体动静脉瘘形成血清肿的罕见并发症:病例报告。

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Tomoki Taniguchi, Kojiro Yamamoto, Mayumi Tomita, Noriyuki Iehara
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引用次数: 0

摘要

研究目的血清肿作为自体动静脉造瘘术的并发症很少见报道:一名 89 岁的妇女因血液透析住院,并接受了前臂自体动静脉造瘘术。在使用肝素化生理盐水进行头静脉扩张时,发生了渗漏。为控制渗漏进行了缝合,并插入了 Penrose 引流管。术后第二天血清引流停止,但术后两周左右出现了血清肿。随访超声波检查显示没有生长趋势,因此没有必要进行切除和抽吸:该血清肿与术后死腔、手术技术和患者临床状态有关。术前必须进行充分的超声血管测绘,以避免对静脉的不当处理,防止血清肿的形成。由于血清肿增大有可能导致瘘管功能障碍和感染,因此建议术后进行超声波随访,这可能需要手术切除血清肿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Seroma as a Rare Complication of Autologous Arteriovenous Fistula Creation in the Forearm of a Hemodialysis Patient: A Case Report.

Seroma as a Rare Complication of Autologous Arteriovenous Fistula Creation in the Forearm of a Hemodialysis Patient: A Case Report.

Seroma as a Rare Complication of Autologous Arteriovenous Fistula Creation in the Forearm of a Hemodialysis Patient: A Case Report.

Seroma as a Rare Complication of Autologous Arteriovenous Fistula Creation in the Forearm of a Hemodialysis Patient: A Case Report.

Aim of the study: Seromas are rarely reported as complications of autologous arteriovenous fistula creation.

Case description: An 89-year-old woman was hospitalized for hemodialysis and underwent an autologous arteriovenous fistula creation in the forearm. During cephalic vein expansion using a heparinized saline solution, leakage occurred. A suture was placed to control the leakage, and a Penrose drain was inserted. Serosanguineous drainage ceased on postoperative day two; however, a seroma occurred approximately two weeks after the surgery. Follow-up ultrasonography revealed no growth tendency; therefore, excision and aspiration were unnecessary.

Conclusion: This seroma was associated with postoperative dead space, surgical technique, and patient clinical status. Sufficient preoperative ultrasonographic vascular mapping is required to avoid inappropriate handling of veins and prevent seroma formation. Postoperative ultrasonographic follow-up is recommended due to the future risk of fistula dysfunction and infection associated with seroma enlargement, which may necessitate surgical seroma excision.

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来源期刊
Journal of Ultrasonography
Journal of Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.30
自引率
0.00%
发文量
58
审稿时长
20 weeks
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