Lower limb gigantism, lymphedema, and painful varicosities following a thigh vascular access graft.
Prosthetic arteriovenous grafts (AVGs) are associated with greater morbidity than autogenous arteriovenous fistulas (AVFs), but their use is indicated when AVF formation is not possible. This report adds to the literature a case of lower limb gigantism, painful varicosities, and lymphedema following long-term use of AVG in the upper thigh. The patient's past medical history included renal transplantation on the same side well before the AVG was inserted and right leg deep vein thrombosis. Suspicion of AVG thrombosis was excluded by Doppler ultrasound, which demonstrated an access flow of 1700 mL/min. A computed tomography (CT) scan of the abdomen and pelvis did not identify the cause of her symptoms. Whereas functional incompetence of the iliac vein valve might be responsible for the varicosities, the extent of hypertrophy in this case raises the suspicion of lymphatic blockage possibly secondary to groin dissection undertaken at the time of graft insertion, in addition to the previous dissection at the time of transplantation. This case highlights the need for minimal groin dissection during AVG insertion, particularly in patients with a history of previous abdominopelvic surgery.
South West Transplant Centre, Derriford Hospital, Plymouth Hospitals NHS Trust, Plymouth, UK.
Michael
M
Thompson
Umasankar
U
Mathuram Thiyagarajan
Jacob A
JA
Akoh
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005877:Gigantism / Q000209:etiology*; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008209:Lymphedema / Q000097:blood / Q000209:etiology* / Q000473:pathology; D008875:Middle Aged; D016896:Treatment Outcome; D014648:Varicose Veins / Q000209:etiology*
Arteriovenous graft; limb gigantism; lymphedema; varicosities