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Scholars Journal of Medical Case Reports | Volume-9 | Issue-09
Management of Posttraumatic Arterioveinous Fistulas of the Limbs in a Sub-Saharan Country
Momar Sokhna Diop, Ndeye Fatou Sow, Boubacar Aminou, Magaye Gaye, Papa Amath Diagne, Papa Adama Dieng, Amadou Gabriel Ciss
Published: Sept. 25, 2021 | 177 137
DOI: 10.36347/sjmcr.2021.v09i09.021
Pages: 905-908
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Abstract
Introduction: Post-traumatic arteriovenous fistulas of the limbs most often occur after trauma but can be iatrogenic since the advent of interventional methods. Materials and methods: This is a retrospective study which took place at the thoracic and cardiovascular surgery department / FANN in Dakar, Senegal over a period from 2006 to 2021. Results: Seven patient files identified were been collected. All were male with an average age of 21 years. The mechanism and the topography of the predominant traumatism being a stabbing attack on the thigh and the average consultation time is 71 days. The limb vessel ultrasound and CT angiography can confirm the diagnosis. All patients underwent open surgery. The outcome was favorable in all patients. Conclusion: Post-traumatic arteriovenous fistulas of the limbs are rare, the diagnosis is clinical and open surgery retains its place in the management.