Leaking Pseudoaneurysm Post Brachiocephalic AV Fistula - A Case Report

A 43 years old female patient with history of end stage renal disease who had undergone left brachiocephalic AV fistula creation for maintenance hemodialysis presented to the casuality on postoperative day-20 (30/1/22) with spurting of blood from the fistula site since that morning. Past history-patient was a known case of chronic kidney disease that was on maintenance hemodialysis (2 cycles /week) and had undergone left brachiocephalic AV fistula creation on 10/1/22. On presentationthis time with bleeding, her blood pressure was 80/50 mmhg, with pulse rate of 120bpm. After immediate control of bleeding with tight bandage, patient was stabilized and was examined. Then the patient was shifted to the emergency operation theatre and the repair was done.