A Case of Perigraft Seroma in Chronic Hemodialysis Patient.
- Author:
Ji Hoon KIM
;
Hae Hyuk JUNG
;
Kyoung Hyoub MOON
;
In Suk SONG
;
Jung Sik PARK
- Publication Type:Case Report
- Keywords:
Perigraft seroma;
Hemodialysis;
PTFE Graft
- MeSH:
Anemia;
Drainage;
Humans;
Polytetrafluoroethylene;
Povidone-Iodine;
Quality Control;
Renal Dialysis*;
Seroma*;
Transplants;
Uremia
- From:Korean Journal of Nephrology
1999;18(3):510-512
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Perigraft seroma is uncommon complication of polytetrafluoroethylene(PTFE) grafts applied as an arteriovenous shunt for hemodialysis. It is a collection of clear, sterile fluid confined to nonsecretory fibrous pseudomembrane, most commonly localized around the middle and distal portion of graft. The possible etiologic factors of perigraft seroma include poor graft incorporation, mechanical graft damage caused by alcohol and povidone-iodine, intraoperative streching of the graft, variations in quality control at the time of manufacture and contributing factors such as anemia and coagulopathy in uremia. The best strategy for management of perigraft seroma is not clear. spiration or drainage alone is not effective, and some authors advocate graft removal. We report a case of perigraft seroma around arterial end of PTFE graft along with a brief review of the literatures.
