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| 만성 혈액투석환자에서 발생한 Perigraft Seroma 1예 (A Case of Perigraft Seroma in Chronic Hemodialysis Patient) |
| 김지훈, 정해혁, 문경협, 송인숙, 박정식 (Ji Hoon Kim, Hae Hyuk Jung, Kyoung Hyoub Moon, In Suk Song and Jung Sik Park) |
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| Abstract |
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Perigraft seroma is uncommon complication of polytetrafluoroethylene(PTFE) grafts applied as an arteriovenous shunt for hemodialysis. It is a collection of clear, sterile fluid confined to nonsecretory fibrous pseudomembrane, most commonly localized around the middle and distal portion of graft. The possible etiologic factors of perigraft seroma include poor graft incorporation, mechanical graft damage caused by alcohol and povidone-iodine, intraoperative streching of the graft, variations in quality control at the time of manufacture and contributing factors such as anemia and coagulopathy in uremia. The best strategy for management of perigraft seroma is not clear. spiration or drainage alone is not effective, and some authors advocate graft removal. We report a case of perigraft seroma around arterial end of PTFE graft along with a brief review of the literatures. |
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