Song Mingzhi, Wei Maohua, Song Ze, Li Liang, Fan Jifeng, Liu Mozhen
Department of Orthopaedics, The First Affiliated Hospital of Dalian Medical University, Dalian Department of Orthopaedics, The Third Affiliated Hospital of Dalian Medical University, Jinpu New Area Department of General Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian Department of General Surgery, The Third Affiliated Hospital of Dalian Medical University, Jinpu New Area, Liaoning, China.
Medicine (Baltimore). 2018 Jun;97(25):e11144. doi: 10.1097/MD.0000000000011144.
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.
Here, we reported a 41-year-old male who had a foreign body in his left forearm following a work-related injury.
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.
The foreign body was removed completely following a microsuture of the cephalic vein.
The procedure was uneventful, and the patient remained asymptomatic after 6 months of clinical follow-up.
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.
血管内的异物通常会给临床医生带来诸多问题。临床医生在诊断和治疗静脉系统中非医源性异物迁移方面的经验不足。
在此，我们报告一名41岁男性，其在工作相关受伤后左前臂有一异物。
X线片显示左前臂浅表软组织有一个3毫米的高密度阴影。手术过程中，通过C形臂荧光透视仪对异物进行成像以提供更精确的位置。
在对头静脉进行显微缝合后，将异物完全取出。
手术过程顺利，临床随访6个月后患者仍无症状。
该病例表明，浅表组织中的异物需要准确诊断和定位。X线和C形臂荧光透视仪成像应与患者病史相结合，以确保充分的术前准备。
