Kumar Raj Ranjan, Ranjan Prachi
Department of Surgery, DSP Main Hospital, J.M. Sengupta Road, Durgapur Steel Plant, Durgapur, 713205, West Bengal, India.
Int J Surg Case Rep. 2020;76:562-565. doi: 10.1016/j.ijscr.2020.09.037. Epub 2020 Sep 11.
We report a case of iatrogenic fracture of peripheral intravenous cannula in the cephalic vein with proximal migration. It is extremely rare and underreported complication of peripheral intravenous cannulation. It acts as a retained intravascular foreign body with lethal complications.
In this case report we conceded that a 23 year-old Hindu female presented to us with pain and discomfort at the site of cannulation in the mid forearm and just over the cubital fossa. The localisation of the fractured cannula was reconfirmed with imaging techniques, venotomy and gentle retrieval of intravascular foreign body was performed.
When performed properly peripheral intravenous cannulation is a safe procedure with little serious risks. It can cause many lethal complications. Such complications can be avoided by adhering to universal guide lines of IV cannulation. Early localisation and exploration for retrieval should be the treatment of choice.
A fractured peripheral intravenous cannula has potentially devastating consequences. Early detection and the standard operating procedure of peripheral venous access, and meticulous teamwork must be adopted.
我们报告一例头静脉外周静脉留置针发生医源性骨折并近端移位的病例。这是外周静脉置管极为罕见且报道不足的并发症。它作为血管内异物残留可导致致命并发症。
在本病例报告中，我们承认一名23岁的印度教女性因前臂中部和肘窝上方置管部位疼痛和不适前来就诊。通过影像学技术再次确认了断裂留置针的位置，进行了静脉切开术并轻柔取出血管内异物。
外周静脉置管操作得当是一种安全的操作，严重风险很小。但它可能导致许多致命并发症。遵循静脉置管通用指南可避免此类并发症。早期定位并进行取出探查应是首选治疗方法。
外周静脉留置针断裂可能产生极具破坏性的后果。必须采用外周静脉穿刺的早期检测和标准操作程序，并进行细致的团队协作。
