A Foreign Body in the Cephalic Vein: Broken Piece of Intravenous Cannula

Masood, Ayesha; Malik, Muhammad Bilal; Khan, Muhammad Irfan

doi:10.7759/cureus.18813

Cited by 3 publications

(5 citation statements)

References 8 publications

(12 reference statements)

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“…Most intravascular foreign bodies are iatrogenic, and these include cannulas, stents, and needles among others. 5 6 Posttraumatic intravenous foreign bodies are uncommon, and their migration to the thoracic cavity has an estimated 2% mortality rate. 1 Migrating foreign bodies are more common in the military or civilian setting after penetrating firearm injuries or explosions.…”

Section: Discussionmentioning

confidence: 99%

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Intravenous Foreign Body at the Hand: Case Report

et al. 2022

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Intravenous foreign bodies following trauma to the hand are relatively uncommon with sparse reports of this condition being published in the literature. They have been reported to migrate as far as the thoracic cavity and the heart. In the following case report, we describe a case of an intravenous foreign body following hand trauma, and the treatment and potential complications are also discussed.

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Section: Discussionmentioning

confidence: 99%

“… 1 2 In our case, the foreign body was superficial and had not migrated, but should the access become more difficult minimally invasive endovascular techniques with special snares, loops, baskets, and other instruments have been described with favorable outcomes and minimal morbidity to the patient. 6 …”

Section: Discussionmentioning

confidence: 99%

Intravenous Foreign Body at the Hand: Case Report

et al. 2022

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“…Most reports in the literature of intravenous foreign bodies are that of needles, stents, catheters, or other iatrogenically placed hardware 1,2 . Although traumatic intravenous foreign bodies have been reported on occasion, these case reports are largely made up of metal shrapnel fragments measuring less than 5 mm [4][5][6] .…”

Section: Discussionmentioning

confidence: 99%

“…ntravascular foreign bodies are uncommon occurrences that are typically iatrogenic secondary to failed hardware including stents, cannulas, needles, and catheters [1][2][3] . Most intravascular foreign bodies have been found in the arterial system, and venous foreign bodies after a trauma have rarely been reported in the literature [4][5][6] .…”

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confidence: 99%

Cephalic Vein Intravascular Foreign Body After a Penetrating Injury

Stark

Matzon

2022

JBJS Case Connector

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Case: A 65-year-old man presented with a right forearm metallic foreign body after a projectile injury while using a table saw. The area in question appeared infected prompting a surgical incision and drainage. In the operating room, the metallic foreign body was noted to be entirely intravascular within the lumen of the cephalic vein. It was ultimately removed, and the patient recovered without complication. Conclusion:Although foreign bodies after traumatic injury are common, it is exceedingly rare to encounter an intravascular foreign body. However, the consequences of proximal migration can be devastating and thus should be in the differential diagnosis for all treating surgeons. Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B959).

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“…Iatrogenic foreign bodies, such as an intravenous cannula or venous catheter fragments, are the most common causes of intravascular foreign bodies. 2,[5][6][7][8][9][10] Moreover, embolization that occurs as a result of penetrating injuries, such as gunshot wounds or industrial accidents, have been reported. 10 Bypareddy et al reported a metallic foreign body-induced post-traumatic occlusion of the superotemporal branch of the retinal blood vessel.…”

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confidence: 99%

Superficial Vein Thrombophlebitis of Lower Limb Caused by an Intra-vascular Foreign Metallic Body

Budișcă

Hațegan²,

Nedelea³

et al. 2022

Journal of Cardiovascular Emergencies

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Superficial thrombophlebitis of the lower limb is a common, frequent pathology, which most of the time does not require anticoagulant treatment. However, the condition can evolve unfavorably, with the progression of the thrombus to the level of the deep venous system, causing deep vein thrombosis and pulmonary embolism. [1][2][3][4] We present the case of a 31-year-old male patient who presented to the emergency room for pain and inflammation in the lower right infragenicular limb, symptoms that appeared 6 days prior. Blood tests showed no significant modification. At the clinical infragenicular examination, an area of inflammation and induration was highlighted on the path of the great saphenous vein. The ultrasound examination revealed local thrombosis of the great saphenous vein as well as the presence of an intravenous body with a posterior acoustic shadowing of approximately 5 mm in diameter (Figure 1).According to the anamnesis, the patient had a minor accident a week earlier in which a metallic body flew and hit the patient at the level of the distal third of the medial face of the right thigh, with no signs of local bleeding, therefore he did not present to the hospital. Due to these findings, to better characterize the type and localization of the foreign body, a computed tomography angiography (CTA) of the lower limbs was performed. The radiological results of the CT were strongly indicative of the presence of a metallic body at the level of the great saphenous vein (Figure 2). Under local anesthesia, exploration of the thrombosed venous segment was performed, with ligation and extraction of the portion of the great saphenous vein that contained the foreign body (Figure 3). During follow-up, the patient was examined at 1 week, 1 month, 3 months, and 6 months after surgery. There were no signs of inflammation or local infection, and the surgical wound had healed.

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A Foreign Body in the Cephalic Vein: Broken Piece of Intravenous Cannula

Cited by 3 publications

References 8 publications

Intravenous Foreign Body at the Hand: Case Report

Intravenous Foreign Body at the Hand: Case Report

Cephalic Vein Intravascular Foreign Body After a Penetrating Injury

Superficial Vein Thrombophlebitis of Lower Limb Caused by an Intra-vascular Foreign Metallic Body

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