Arteryovenöz fistüller arterler ve venler arasindaki anormal baglantilardir. Çogunlukla penetran travmalar sonucu olusurlar. Ancak künt travmayla olusmus fistüller de bildirilmistir. Biz oldukça nadir bir travma sonrasi fistül tipi olan radial arter ve sefalik ven fistülü bulunan bir olguyu sunuyoruz. Poliklinigimize 21 yasinda bir erkek hasta sol el ve önkolda sislik ve agri sikayetleriyle basvurdu. Sol el bileginde arteriovenöz fistül saptandi. 5 yil once geçirdigi trafik kazasinda sol el bileginin yaralandigini ifade ediyordu. Fistülü baglanan hastanin sikayetleri geçti ve thrill kayboldu. Bu olgu eski travmali hastalarda arteryovenöz fistülün erken tanisi ve uzun dönem komplikasyonlarin önlenmesi açisindan sistemik muayenenin önemini ortaya koymaktadir.
Arteriovenous fistulas are abnormal communications between arteries and veins. They occur generally due to penetrating traumas but fistulas after blunt traumas have also been reported. We are presenting an extremely rare type of posttraumatic fistula which occurred between radial artery and cephalic vein. A 21 year old male patient admitted to our outpatient clinics suffering from the swelling and pain of his left hand and forearm. There was an arteriovenous fistula on his left wrist. He mentioned that his left wrist was injured at the time of a traffic accident 5 years ago. His complaints and the thrill disappeared after fistula ligation. Our case report shows the importance of systemic physical examination in the early diagnosis of arteriovenous fistulas as well as in preventing long term complications particularly in patients who have the history of trauma.
Primary Language | Turkish |
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Journal Section | Basic Medicine Sciences |
Authors | |
Publication Date | May 1, 2009 |
Published in Issue | Year 2009 Volume: 4 Issue: 4 |