Cephalic Vein Intravascular Foreign Body After a Penetrating Injury

Author:

Stark Michael1ORCID,Matzon Jonas L.2

Affiliation:

1. Division of Orthopaedic Surgery, Rowan University, Stratford, New Jersey

2. Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania

Abstract

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.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

Reference13 articles.

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2. A foreign body in the cephalic vein: broken piece of intravenous cannula;Masood;Cureus.,2021

3. The intravenous foreign body: a report of 2 cases;Gschwind;J Hand Surg.,2002

4. Intravenous foreign body at the hand: case report;Couceiro;Surg J (N Y).,2022

5. A foreign body in the cephalic vein;Song;Medicine (Baltimore).,2018

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