{"title":"A Spontaneous Arterial Venous Fistula in a Patient on Hemodialysis: Case Report","authors":"Getasew Kassaw Alemu, Addisu Melkie Ejigu, Beniam Yohannes Kassa","doi":"10.1002/ccr3.9640","DOIUrl":null,"url":null,"abstract":"<p>Arteriovenous fistula is an abnormal connection between arteries and veins occurring usually following surgery, trauma, catheterization, or local procedures. Spontaneous arteriovenous fistulas are a rare clinical entity with very few cases reported in the literature with unclear mechanisms. We present a case report of a 54-year-old Ethiopian female with known chronic kidney disease on hemodialysis for 2 years thrice a week who presented with progressive pulsatile right thigh mass of 7 months duration in the absence of trauma, catheter insertion previously, or surgery. The arteriovenous fistula was confirmed by computed tomography angiography and it was intervened with open surgery with no complication.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"12 12","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.9640","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ccr3.9640","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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Abstract
Arteriovenous fistula is an abnormal connection between arteries and veins occurring usually following surgery, trauma, catheterization, or local procedures. Spontaneous arteriovenous fistulas are a rare clinical entity with very few cases reported in the literature with unclear mechanisms. We present a case report of a 54-year-old Ethiopian female with known chronic kidney disease on hemodialysis for 2 years thrice a week who presented with progressive pulsatile right thigh mass of 7 months duration in the absence of trauma, catheter insertion previously, or surgery. The arteriovenous fistula was confirmed by computed tomography angiography and it was intervened with open surgery with no complication.
期刊介绍：
Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).
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