alexa Arteriovenous Fistula: A Rare Complication of Periphera

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Case Report

Arteriovenous Fistula: A Rare Complication of Peripheral Venous Cannulation and an Example of the Importance of Clinical Examination

Williams AE1* and Sinha P2

1Leeds Institute of Biological and Clinical Sciences, Level 7 Clinical Sciences Building, St James’s University Hospital, Leeds, LS9 7TF, UK

2Department of General Surgery, Princess Royal University Hospital, Farnborough Common, Orpington, Kent, BR, UK

*Corresponding Author:
Williams AE
Clinical Research Fellow
Leeds Institute of Biological and Clinical Sciences
Level 7 Clinical Sciences Building
St James’s University Hospital
Leeds, LS9 7TF, UK
Tel: 440113 2065281
E-mail: [email protected]

Received Date: January 27, 2016 Accepted Date: March 03, 2016 Published Date: March 13, 2016

Citation: Williams AE, Sinha P (2016) Arteriovenous Fistula: A Rare Complication of Peripheral Venous Cannulation and an Example of the Importance of Clinical Examination. Med Rep Case Stud 1: 105. doi: 10.4172/2572-5130.1000105

Copyright: © 2016 Williams AE, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Arteriovenous fistula is a rare complication of peripheral venous cannulation. We report a case of a 79-year-old male who presented with a subcutaneous swelling on the anterio-lateral aspect of his right forearm. The ‘lump’ developed at the same site as the insertion of a previous peripheral venous cannula. Careful clinical examination and later radiological confirmation diagnosed an arteriovenous fistula. The patient was referred to a vascular surgeon for advice regarding further management. This case demonstrates the importance of clinical examination for the accurate diagnosis of ‘Lumps and Bumps’ prior to surgical treatment.


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