Delayed presentation of an iatrogenic, traumatic brachio-brachial fistula

The Brachio-Brachial Arteriovenous Fistula

The autogenous arteriovenous fistula (AVF) is the preferred access for chronic hemodialysis in patients with end-stage kidney disease. Careful examination of the upper extremity is essential for the creation of a successful fistula. The quality of the arterial and venous circulation should be well established prior to surgery. However, there are cases when the superficial venous system of the u...

Delayed presentation of a traumatic brachial artery pseudoaneurysm.

Delayed presentation of a brachial artery pseudoaneurysm following penetrating trauma is infrequently reported. We report the case of a 23-year-old male who presented three months following a penetrating trauma to his antecubital fossa with a sudden exacerbation of swelling and tenderness of his elbow. Doppler ultrasound and computed tomography arteriography confirmed the presence of a large ps...

Delayed presentation of iatrogenic bladder perforation

Flail upper limb due to delayed presentation of a traumatic brachial artery pseudoaneurysm.

To cite: Kaczynski J, Wilczynska M, Fligelstone L. BMJ Case Reports Published online: [please include Day Month Year] doi:10.1136/ bcr-2012-007706 DESCRIPTION An 81-year-old woman presented with a right midshaft closed humerus fracture (dominant limb) following a mechanical fall. Her medical history included type 2 diabetes, hypertension, asthma and hypothyroidism. The patient was fully indepen...

Delayed presentation of post traumatic diaphragmatic hernia

Blunt traumatic diaphragmatic rupture is an uncommon but severe problem that is usually seen in polytraumatized patients including blunt abdomino-thoracic trauma due to road traffic accidents, fall from height and penetrating injuries. Regardless of the mechanism, diagnosis is often missed and high index of suspicion is vital. Late presentations are associated with increased morbidity. We repor...