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Unilateral hemothorax in a 46 year old South Indian male due to a giant arteriovenous hemodialysis fistula: a case report

In a patient undergoing regular hemodialysis through an arteriovenous fistula access, pleural effusion is a known long term complication. However, a unilateral hemothorax is relatively uncommon. Here we report a 46 year old male, end-stage renal disease patient, on maintenance hemodialysis, who pres...

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Autores principales: Salim, Shihas, Ganeshram, Prasanthi, Patel, Amish Dilip, Kumar, Anita A, Vemuri, Divya, Jeyachandran, Vijay, Rajamanickam, Deepan, Shantha, Ghanshyam Palamaner Subash
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2567296/
https://www.ncbi.nlm.nih.gov/pubmed/18840271
http://dx.doi.org/10.1186/1757-1626-1-225
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author Salim, Shihas
Ganeshram, Prasanthi
Patel, Amish Dilip
Kumar, Anita A
Vemuri, Divya
Jeyachandran, Vijay
Rajamanickam, Deepan
Shantha, Ghanshyam Palamaner Subash
author_facet Salim, Shihas
Ganeshram, Prasanthi
Patel, Amish Dilip
Kumar, Anita A
Vemuri, Divya
Jeyachandran, Vijay
Rajamanickam, Deepan
Shantha, Ghanshyam Palamaner Subash
author_sort Salim, Shihas
collection PubMed
description In a patient undergoing regular hemodialysis through an arteriovenous fistula access, pleural effusion is a known long term complication. However, a unilateral hemothorax is relatively uncommon. Here we report a 46 year old male, end-stage renal disease patient, on maintenance hemodialysis, who presented with a giant brachiocephalic AV fistula in his left arm and progressive breathlessness. Radiological imaging revealed a left sided pleural effusion. Ultrasound guided aspiration revealed a hemorrhagic pleural fluid. A Doppler study of the fistula revealed a high velocity blood flow through the fistula, thereby establishing the cause of the unilateral hemothorax. Ligation of the fistula resulted in complete resolution of the hemothorax. The other possible causes for hemothorax in a dialysis patient are also discussed in this case report.
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spelling pubmed-25672962008-10-15 Unilateral hemothorax in a 46 year old South Indian male due to a giant arteriovenous hemodialysis fistula: a case report Salim, Shihas Ganeshram, Prasanthi Patel, Amish Dilip Kumar, Anita A Vemuri, Divya Jeyachandran, Vijay Rajamanickam, Deepan Shantha, Ghanshyam Palamaner Subash Cases J Case Report In a patient undergoing regular hemodialysis through an arteriovenous fistula access, pleural effusion is a known long term complication. However, a unilateral hemothorax is relatively uncommon. Here we report a 46 year old male, end-stage renal disease patient, on maintenance hemodialysis, who presented with a giant brachiocephalic AV fistula in his left arm and progressive breathlessness. Radiological imaging revealed a left sided pleural effusion. Ultrasound guided aspiration revealed a hemorrhagic pleural fluid. A Doppler study of the fistula revealed a high velocity blood flow through the fistula, thereby establishing the cause of the unilateral hemothorax. Ligation of the fistula resulted in complete resolution of the hemothorax. The other possible causes for hemothorax in a dialysis patient are also discussed in this case report. BioMed Central 2008-10-07 /pmc/articles/PMC2567296/ /pubmed/18840271 http://dx.doi.org/10.1186/1757-1626-1-225 Text en Copyright © 2008 Salim et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Salim, Shihas
Ganeshram, Prasanthi
Patel, Amish Dilip
Kumar, Anita A
Vemuri, Divya
Jeyachandran, Vijay
Rajamanickam, Deepan
Shantha, Ghanshyam Palamaner Subash
Unilateral hemothorax in a 46 year old South Indian male due to a giant arteriovenous hemodialysis fistula: a case report
title Unilateral hemothorax in a 46 year old South Indian male due to a giant arteriovenous hemodialysis fistula: a case report
title_full Unilateral hemothorax in a 46 year old South Indian male due to a giant arteriovenous hemodialysis fistula: a case report
title_fullStr Unilateral hemothorax in a 46 year old South Indian male due to a giant arteriovenous hemodialysis fistula: a case report
title_full_unstemmed Unilateral hemothorax in a 46 year old South Indian male due to a giant arteriovenous hemodialysis fistula: a case report
title_short Unilateral hemothorax in a 46 year old South Indian male due to a giant arteriovenous hemodialysis fistula: a case report
title_sort unilateral hemothorax in a 46 year old south indian male due to a giant arteriovenous hemodialysis fistula: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2567296/
https://www.ncbi.nlm.nih.gov/pubmed/18840271
http://dx.doi.org/10.1186/1757-1626-1-225
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