Fracture of tissue dilator in the femoral vein during insertion of temporary dialysis catheter: a stitch in time can save nine.
Sai Divya YadavalliManjunath Maruti PolSurabhi VyasMeghana VenkateshPublished in: BMJ case reports (2021)
A 48-year-old man presented to the surgery casualty with 1-day history of broken foreign body during the insertion of dialysis catheter and a failed surgical retrieval. A Doppler ultrasonography of the right groin and lower limb and a noncontrast CT of abdomen and pelvis were performed. Eventhough no intravascular foreign body could be identified on imaging, a decision to re-explore the wound was taken in view of definitive clinical history. A 9.5 cm-long, broken piece of tissue dilator was found inside the right external iliac vein, which was removed through venotomy of the femoral vein. Postoperative recovery was uneventful.
Keyphrases
- lower limb
- chronic kidney disease
- end stage renal disease
- contrast enhanced
- minimally invasive
- high resolution
- magnetic resonance imaging
- dual energy
- computed tomography
- coronary artery bypass
- patients undergoing
- ultrasound guided
- surgical site infection
- peritoneal dialysis
- locally advanced
- coronary artery
- coronary artery disease
- radiation therapy
- decision making
- mass spectrometry
- atrial fibrillation
- rectal cancer
- hip fracture