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NDT Plus Advance Access originally published online on January 17, 2008
NDT Plus 2008 1(2):117-119; doi:10.1093/ndtplus/sfm021
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, pleasexs e-mail: journals.permissions@oxfordjournals.org

Occlusion of the fistula in a dialysis patient—is it always a common reason?

Yi-Lung Lin, His-Hsien Chen and Tzen-Wen Chen

Division of Nephrology, Department of Internal Medicine, Taipei Medical University and Hospital, Taipei, Taiwan

Correspondence: Tzen-Wen Chen, Division of Nephrology, Department of Internal Medicine, Taipei Medical University and Hospital, 252 Wu-Hsing Street, Taipei 110, Taiwan. Tel: +886-2-27372181 ext 3330; Fax: +886-2-27363051; E-mail: yilunglin@ntu.edu.tw

Key Words: diffuse intravascular coagulation • prostate cancer • trousseau's syndrome

Received for publication October 4, 2007. Accepted for publication November 6, 2007.

The first 10% of the full text of this article appears below.

A 67-year-old man with chronic glomerulonephritis and end-stage renal disease (ESRD), on maintenance haemodialysis for 1 year, had a history for failure of a right radiocephalic fistula, a right radiocephalic graft, a right subclavian permanent catheter and a left radiocephalic fistula due to refratory thrombosis. He presented to our hospital with intermittent gross haematuria for 9 months and swelling over the right arm and left hand for 1 month. On further questioning, he also reported a history of deep venous thrombosis over bilateral lower legs, 3 months earlier. He had . . . [Full Text of this Article]


   What abnormalities are seen on the venography of right superior vena cava (SVC) and left upper limb?
 
What is the clinical diagnosis?

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