Retrieval of broken bone biopsy needle from the sacroiliac joint – A case report and review of literature

Gandbhir, Viraj; Dussa, Kumar; Kakadiya, Ghanshyam; Nischay, K K; Parekh, Aseem N.

doi:10.1016/j.tcr.2020.100395

Cited by 4 publications

(2 citation statements)

References 8 publications

(9 reference statements)

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“…The incidence of a broken needle or needle breakage is not unknown. Broken needles have been reported during dental procedures [ 2 , 3 ], laparoscopy [ 4 ], surgical operation [ 1 ], percutaneous needle biopsy [ 5 ], endobronchial ultrasound-guided-transbronchial needle aspiration [ 6 ], antegrade suture passer of shoulder [ 7 ], bone biopsy [ 8 ], acupunctures [ 9 ], spinal anesthesia [ 10 , 11 ], and the injection of drugs [ 12 , 13 ]. Seven case reports of broken needles during various procedures were reported in 2021 from a PubMed ® search.…”

Section: Discussionmentioning

confidence: 99%

“…However, a broken needle embedded completely in the soft tissue can be removed by surgical exploration [ 1 , 13 , 14 ]. A broken needle embedded in the bone can be retrieved using a drill bit [ 8 , 16 ]. Nikhil et al reported that a broken needle fragment during an endobronchial ultrasound-guided transbronchial needle aspiration procedure, was removed using alligator forceps [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

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Broken Needle Embedded in the Body during Vascular Puncture

Choi

2022

Healthcare

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The use of needles is essential in most medical procedures and surgery; however, needle breakage is not known to happen very frequently. Even if it does, it is most likely to occur during dental procedures, sutures, aspiration, biopsy, anesthesia, and drug abuse. To our knowledge, this is the first report about needle detachment from the syringe during a vascular puncture for blood collection. In this case, an 87-year-old obese woman with generalized edema had repeated vascular punctures to the femoral artery for arterial blood gas analysis (ABGA). After blood collection at this instance, when the syringe was pulled out, the needle was detached from it. Radiography revealed that the broken needle was lodged in the groin. A surgical incision with the fluoroscopic radiography located the embedded needle in the soft tissue and allowed the retrieval of its fragments from the groin soft tissue. Obesity and repeated punctures may increase the risk of needle breakage and prior inspection of needles for such procedures may be necessary.

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