Seroma as a rare complication of autologous arteriovenous fistula creation in the forearm of a hemodialysis patient: a case report
, , y | 01 oct 2022
Article Category: case-report
Publicado en línea: 01 oct 2022
Páginas: e240 - e244
Recibido: 03 mar 2022
Aceptado: 22 jul 2022
DOI: https://doi.org/10.15557/jou.2022.0039
Palabras clave
© 2022 Tomoki Taniguchi et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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.