Arteriovenous Fistula Pseudoaneurysm Mimicking Cutaneous a Neoplasm Arising from a Stenosed Arteriovenous Fistula

A 72-year-old woman was referred for noticing a nodule on the arteriovenous fistula spontaneous obstruction. Physical examination revealed a dark reddish, non-pulsatile nodule in the right forearm that measured 21 × 13 mm, bled easily, and was partially crusted. During the course of examinations, th...

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Main Authors: Hayato Hanada, Shiro Niiyama, Akiko Hirata
Format: Article
Language:English
Published: Japan Society of Plastic and Reconstructive Surgery 2025-01-01
Series:Journal of Plastic and Reconstructive Surgery
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0065/_pdf/-char/en
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author Hayato Hanada
Shiro Niiyama
Akiko Hirata
author_facet Hayato Hanada
Shiro Niiyama
Akiko Hirata
author_sort Hayato Hanada
collection DOAJ
description A 72-year-old woman was referred for noticing a nodule on the arteriovenous fistula spontaneous obstruction. Physical examination revealed a dark reddish, non-pulsatile nodule in the right forearm that measured 21 × 13 mm, bled easily, and was partially crusted. During the course of examinations, the patient developed trauma-induced excessive bleeding from the lesion. At the initial examination, based on the clinical findings, we considered the possibility of cutaneous neoplasm. Eventually, we made the diagnosis of an organized hematoma and an arteriovenous fistula pseudoaneurysm. No previous report of an arteriovenous fistula pseudoaneurysm mimicking a neoplasm arising from a stenosed arteriovenous fistula, as in our case, has been available. An arteriovenous fistula pseudoaneurysm can arise even from a stenosed arteriovenous fistula, so that an early diagnosis can be made and impending rupture prevented.
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publishDate 2025-01-01
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spelling doaj-art-c3a2a70d3fcb48ae950942977d4ebc5a2025-02-03T00:52:47ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2025-01-014138402023-0065Arteriovenous Fistula Pseudoaneurysm Mimicking Cutaneous a Neoplasm Arising from a Stenosed Arteriovenous FistulaHayato Hanada0Shiro Niiyama1Akiko Hirata2Department of Plastic and Reconstructive Surgery, Toho University Ohashi Medical CenterDepartment of Dermatology, Toho University Ohashi Medical CenterDepartment of Plastic and Reconstructive Surgery, Toho University Ohashi Medical CenterA 72-year-old woman was referred for noticing a nodule on the arteriovenous fistula spontaneous obstruction. Physical examination revealed a dark reddish, non-pulsatile nodule in the right forearm that measured 21 × 13 mm, bled easily, and was partially crusted. During the course of examinations, the patient developed trauma-induced excessive bleeding from the lesion. At the initial examination, based on the clinical findings, we considered the possibility of cutaneous neoplasm. Eventually, we made the diagnosis of an organized hematoma and an arteriovenous fistula pseudoaneurysm. No previous report of an arteriovenous fistula pseudoaneurysm mimicking a neoplasm arising from a stenosed arteriovenous fistula, as in our case, has been available. An arteriovenous fistula pseudoaneurysm can arise even from a stenosed arteriovenous fistula, so that an early diagnosis can be made and impending rupture prevented.https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0065/_pdf/-char/enarteriovenous fistulacutaneous neoplasmhemodialysispseudoaneurysm
spellingShingle Hayato Hanada
Shiro Niiyama
Akiko Hirata
Arteriovenous Fistula Pseudoaneurysm Mimicking Cutaneous a Neoplasm Arising from a Stenosed Arteriovenous Fistula
Journal of Plastic and Reconstructive Surgery
arteriovenous fistula
cutaneous neoplasm
hemodialysis
pseudoaneurysm
title Arteriovenous Fistula Pseudoaneurysm Mimicking Cutaneous a Neoplasm Arising from a Stenosed Arteriovenous Fistula
title_full Arteriovenous Fistula Pseudoaneurysm Mimicking Cutaneous a Neoplasm Arising from a Stenosed Arteriovenous Fistula
title_fullStr Arteriovenous Fistula Pseudoaneurysm Mimicking Cutaneous a Neoplasm Arising from a Stenosed Arteriovenous Fistula
title_full_unstemmed Arteriovenous Fistula Pseudoaneurysm Mimicking Cutaneous a Neoplasm Arising from a Stenosed Arteriovenous Fistula
title_short Arteriovenous Fistula Pseudoaneurysm Mimicking Cutaneous a Neoplasm Arising from a Stenosed Arteriovenous Fistula
title_sort arteriovenous fistula pseudoaneurysm mimicking cutaneous a neoplasm arising from a stenosed arteriovenous fistula
topic arteriovenous fistula
cutaneous neoplasm
hemodialysis
pseudoaneurysm
url https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0065/_pdf/-char/en
work_keys_str_mv AT hayatohanada arteriovenousfistulapseudoaneurysmmimickingcutaneousaneoplasmarisingfromastenosedarteriovenousfistula
AT shironiiyama arteriovenousfistulapseudoaneurysmmimickingcutaneousaneoplasmarisingfromastenosedarteriovenousfistula
AT akikohirata arteriovenousfistulapseudoaneurysmmimickingcutaneousaneoplasmarisingfromastenosedarteriovenousfistula