Lower limb gigantism, lymphedema, and painful varicosities following a thigh vascular access graft.
Identifieur interne : 002923 ( Main/Exploration ); précédent : 002922; suivant : 002924Lower limb gigantism, lymphedema, and painful varicosities following a thigh vascular access graft.
Auteurs : Michael Thompson [Royaume-Uni] ; Umasankar Mathuram Thiyagarajan ; Jacob A. AkohSource :
- Hemodialysis international. International Symposium on Home Hemodialysis [ 1542-4758 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Anastomose chirurgicale artérioveineuse (), Anastomose chirurgicale artérioveineuse (effets indésirables), Femelle, Gigantisme (étiologie), Humains, Jambe (), Lymphoedème (anatomopathologie), Lymphoedème (sang), Lymphoedème (étiologie), Résultat thérapeutique, Varices (étiologie).
- MESH :
- anatomopathologie : Lymphoedème.
- effets indésirables : Anastomose chirurgicale artérioveineuse.
- sang : Lymphoedème.
- étiologie : Gigantisme, Lymphoedème, Varices.
- Adulte d'âge moyen, Anastomose chirurgicale artérioveineuse, Femelle, Humains, Jambe, Résultat thérapeutique.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Arteriovenous Shunt, Surgical.
- blood : Lymphedema.
- blood supply : Leg.
- etiology : Gigantism, Lymphedema, Varicose Veins.
- methods : Arteriovenous Shunt, Surgical.
- pathology : Lymphedema.
- Female, Humans, Middle Aged, Treatment Outcome.
Abstract
Prosthetic arteriovenous grafts (AVGs) are associated with greater morbidity than autogenous arteriovenous fistulas (AVFs), but their use is indicated when AVF formation is not possible. This report adds to the literature a case of lower limb gigantism, painful varicosities, and lymphedema following long-term use of AVG in the upper thigh. The patient's past medical history included renal transplantation on the same side well before the AVG was inserted and right leg deep vein thrombosis. Suspicion of AVG thrombosis was excluded by Doppler ultrasound, which demonstrated an access flow of 1700 mL/min. A computed tomography (CT) scan of the abdomen and pelvis did not identify the cause of her symptoms. Whereas functional incompetence of the iliac vein valve might be responsible for the varicosities, the extent of hypertrophy in this case raises the suspicion of lymphatic blockage possibly secondary to groin dissection undertaken at the time of graft insertion, in addition to the previous dissection at the time of transplantation. This case highlights the need for minimal groin dissection during AVG insertion, particularly in patients with a history of previous abdominopelvic surgery.
DOI: 10.1111/hdi.12144
PubMed: 24467313
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 001709
- to stream PubMed, to step Curation: 001709
- to stream PubMed, to step Checkpoint: 001709
- to stream Ncbi, to step Merge: 006222
- to stream Ncbi, to step Curation: 006222
- to stream Ncbi, to step Checkpoint: 006222
- to stream Main, to step Merge: 002927
- to stream Main, to step Curation: 002923
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Lower limb gigantism, lymphedema, and painful varicosities following a thigh vascular access graft.</title><author><name sortKey="Thompson, Michael" sort="Thompson, Michael" uniqKey="Thompson M" first="Michael" last="Thompson">Michael Thompson</name><affiliation wicri:level="1"><nlm:affiliation>South West Transplant Centre, Derriford Hospital, Plymouth Hospitals NHS Trust, Plymouth, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>South West Transplant Centre, Derriford Hospital, Plymouth Hospitals NHS Trust, Plymouth</wicri:regionArea><wicri:noRegion>Plymouth</wicri:noRegion></affiliation></author><author><name sortKey="Mathuram Thiyagarajan, Umasankar" sort="Mathuram Thiyagarajan, Umasankar" uniqKey="Mathuram Thiyagarajan U" first="Umasankar" last="Mathuram Thiyagarajan">Umasankar Mathuram Thiyagarajan</name></author><author><name sortKey="Akoh, Jacob A" sort="Akoh, Jacob A" uniqKey="Akoh J" first="Jacob A" last="Akoh">Jacob A. Akoh</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24467313</idno><idno type="pmid">24467313</idno><idno type="doi">10.1111/hdi.12144</idno><idno type="wicri:Area/PubMed/Corpus">001709</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001709</idno><idno type="wicri:Area/PubMed/Curation">001709</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001709</idno><idno type="wicri:Area/PubMed/Checkpoint">001709</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001709</idno><idno type="wicri:Area/Ncbi/Merge">006222</idno><idno type="wicri:Area/Ncbi/Curation">006222</idno><idno type="wicri:Area/Ncbi/Checkpoint">006222</idno><idno type="wicri:Area/Main/Merge">002927</idno><idno type="wicri:Area/Main/Curation">002923</idno><idno type="wicri:Area/Main/Exploration">002923</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lower limb gigantism, lymphedema, and painful varicosities following a thigh vascular access graft.</title><author><name sortKey="Thompson, Michael" sort="Thompson, Michael" uniqKey="Thompson M" first="Michael" last="Thompson">Michael Thompson</name><affiliation wicri:level="1"><nlm:affiliation>South West Transplant Centre, Derriford Hospital, Plymouth Hospitals NHS Trust, Plymouth, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>South West Transplant Centre, Derriford Hospital, Plymouth Hospitals NHS Trust, Plymouth</wicri:regionArea><wicri:noRegion>Plymouth</wicri:noRegion></affiliation></author><author><name sortKey="Mathuram Thiyagarajan, Umasankar" sort="Mathuram Thiyagarajan, Umasankar" uniqKey="Mathuram Thiyagarajan U" first="Umasankar" last="Mathuram Thiyagarajan">Umasankar Mathuram Thiyagarajan</name></author><author><name sortKey="Akoh, Jacob A" sort="Akoh, Jacob A" uniqKey="Akoh J" first="Jacob A" last="Akoh">Jacob A. Akoh</name></author></analytic><series><title level="j">Hemodialysis international. International Symposium on Home Hemodialysis</title><idno type="eISSN">1542-4758</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arteriovenous Shunt, Surgical (adverse effects)</term><term>Arteriovenous Shunt, Surgical (methods)</term><term>Female</term><term>Gigantism (etiology)</term><term>Humans</term><term>Leg (blood supply)</term><term>Lymphedema (blood)</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Middle Aged</term><term>Treatment Outcome</term><term>Varicose Veins (etiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale artérioveineuse ()</term><term>Anastomose chirurgicale artérioveineuse (effets indésirables)</term><term>Femelle</term><term>Gigantisme (étiologie)</term><term>Humains</term><term>Jambe ()</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (sang)</term><term>Lymphoedème (étiologie)</term><term>Résultat thérapeutique</term><term>Varices (étiologie)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Arteriovenous Shunt, Surgical</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Leg</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Anastomose chirurgicale artérioveineuse</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gigantism</term><term>Lymphedema</term><term>Varicose Veins</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Arteriovenous Shunt, Surgical</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Gigantisme</term><term>Lymphoedème</term><term>Varices</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale artérioveineuse</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Résultat thérapeutique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Prosthetic arteriovenous grafts (AVGs) are associated with greater morbidity than autogenous arteriovenous fistulas (AVFs), but their use is indicated when AVF formation is not possible. This report adds to the literature a case of lower limb gigantism, painful varicosities, and lymphedema following long-term use of AVG in the upper thigh. The patient's past medical history included renal transplantation on the same side well before the AVG was inserted and right leg deep vein thrombosis. Suspicion of AVG thrombosis was excluded by Doppler ultrasound, which demonstrated an access flow of 1700 mL/min. A computed tomography (CT) scan of the abdomen and pelvis did not identify the cause of her symptoms. Whereas functional incompetence of the iliac vein valve might be responsible for the varicosities, the extent of hypertrophy in this case raises the suspicion of lymphatic blockage possibly secondary to groin dissection undertaken at the time of graft insertion, in addition to the previous dissection at the time of transplantation. This case highlights the need for minimal groin dissection during AVG insertion, particularly in patients with a history of previous abdominopelvic surgery.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><noCountry><name sortKey="Akoh, Jacob A" sort="Akoh, Jacob A" uniqKey="Akoh J" first="Jacob A" last="Akoh">Jacob A. Akoh</name><name sortKey="Mathuram Thiyagarajan, Umasankar" sort="Mathuram Thiyagarajan, Umasankar" uniqKey="Mathuram Thiyagarajan U" first="Umasankar" last="Mathuram Thiyagarajan">Umasankar Mathuram Thiyagarajan</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Thompson, Michael" sort="Thompson, Michael" uniqKey="Thompson M" first="Michael" last="Thompson">Michael Thompson</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002923 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 002923 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:24467313
|texte= Lower limb gigantism, lymphedema, and painful varicosities following a thigh vascular access graft.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:24467313" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |