Abstract

Arteriovenous fistulas are abnormal communications between arteries and veins. They occur generally due to penetrating traumas but fistulas after blunt traumas have also been reported. We are presenting an extremely rare type of posttraumatic fistula which occurred between radial artery and cephalic vein. A 21 year old male patient admitted to our outpatient clinics suffering from the swelling and pain of his left hand and forearm. There was an arteriovenous fistula on his left wrist. He mentioned that his left wrist was injured at the time of a traffic accident 5 years ago. His complaints and the thrill disappeared after fistula ligation. Our case report shows the importance of systemic physical examination in the early diagnosis of arteriovenous fistulas as well as in preventing long term complications particularly in patients who have the history of trauma.

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