Citation

Song M, Wei M, Song Z, Li L, Fan J, Liu M. Medicine (Baltimore) 2018; 97(25): e11144.

Affiliation

Department of Orthopaedics, The First Affiliated Hospital of Dalian Medical University, Dalian.

Copyright

(Copyright © 2018, Lippincott Williams and Wilkins)

DOI

10.1097/MD.0000000000011144

PMID

29924017

Abstract

RATIONALE: Foreign bodies in the vasculature usually cause numerous problems for clinical physicians. Physician experience with diagnosing and treating non-iatrogenic foreign body migration in the venous system is insufficient. PATIENT CONCERNS: Here, we reported a 41-year-old male who had a foreign body in his left forearm following a work-related injury. DIAGNOSES: X-ray films indicated a 3-mm high-density shadow in the superficial soft tissue of the left forearm. During the operation, the foreign body was imaged by a C-arm fluoroscope to provide a more accurate location. INTERVENTIONS: The foreign body was removed completely following a microsuture of the cephalic vein. OUTCOMES: The procedure was uneventful, and the patient remained asymptomatic after 6 months of clinical follow-up. LESSONS: This case indicated that the foreign body in the superficial tissue needed to be accurately diagnosed and located. X-ray and C-arm fluoroscope imaging should be combined with the patient's medical history to ensure sufficient preoperative preparation.

Language: en