Acute gangrene that developed in the fingers of the hand with arteriovenous fistule in a chronic hemodialysis patient.
Finger gangrene developing due to arterial occlusive disease in the upper extremity is a rare pathology. Although rare, it can especially be seen in patients undergoing chronic hemodialysis. Although there are no established reasons in the etiology of gangrene occurring in the hand following chronic hemodialysis, certain high-risk factors have been defined. Awareness of these high-risk factors is important in the prevention of these types of undesired complications with high morbidity rates. In our study, we report an acutely developed finger necrosis as well as the possible etiologic factors causing the necrosis and its treatment. The necrosis developed in the hand (where an arteriovenous fistule formed) of a 60-year-old patient in menopause, with osteoporosis, diabetes, hypertension, and who was undergoing hemodialysis due to an eight-year history of end-stage renal disease.
Cebesoy
Oguz
O
Orthopedic and Traumatology Department, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey. ocebesoy@gmail.com
Baltaci
Enver Taner
ET
D000208:Acute Disease; D001157:Arterial Occlusive Diseases / Q000209:etiology*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D005260:Female; D005385:Fingers / Q000473:pathology*; D005500:Follow-Up Studies; D005734:Gangrene / Q000209:etiology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008875:Middle Aged; D006435:Renal Dialysis; D012307:Risk Factors