Details

Autor(en) / Beteiligte

• Taniguchi, Tomoki
• Yamamoto, Kojiro
• Tomita, Mayumi
• Iehara, Noriyuki

Titel

Seroma as a rare complication of autologous arteriovenous fistula creation in the forearm of a hemodialysis patient: a case report

Ist Teil von

• Journal of ultrasonography, 2022-10, Vol.22 (91), p.240-244

Ort / Verlag

Poland: Sciendo

Erscheinungsjahr

2022

Quelle

EZB-FREE-00999 freely available EZB journals

Beschreibungen/Notizen

• Seromas are rarely reported as complications of autologous arteriovenous fistula creation. 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. 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.