Adeosun Peter Olalekan, Abdulazeez Abdulateef Temitope, Okeke Uchenna Ifeoma, Ehinmosan Olamide Emmanuel, Eze Eziamaka Gloria
Department of Oral and Maxillofacial Surgery, Nigerian Navy Reference Hospital, Calabar, Cross River State, Nigeria.
Department of Paediatrics, Nigerian Navy Reference Hospital, Calabar, Cross River State, Nigeria.
Afr J Emerg Med. 2020 Dec;10(4):277-280. doi: 10.1016/j.afjem.2020.06.010. Epub 2020 Jul 13.
Fractured cannula is a complication of peripheral intravenous cannula (PIVC) insertion. It is a rare but potentially fatal complication. We present a case of iatrogenic fracture of a PIVC in a toddler.
An acutely ill 30-month-old boy presented at the emergency room and a PIVC insertion was attempted several times using the same cannula which fractured in the process. While the main part of the device was recovered, about 7 mm of the cannula was retained in the tissues and was not palpable. Computed tomography was used to locate the foreign body which was surgically removed under general anesthesia.
A fractured and retained PIVC, especially when it is not palpable clinically, is an emergency due to possible embolization and the consequent potentially fatal outcome. This case underscores strict adherence to standard guidelines in prevention and the importance of computed tomography in the management of this condition.
套管断裂是外周静脉留置针（PIVC）穿刺的一种并发症。这是一种罕见但可能致命的并发症。我们报告一例幼儿医源性PIVC断裂的病例。
一名30个月大的急性病患儿被送往急诊室，使用同一根套管多次尝试进行PIVC穿刺，在此过程中套管发生断裂。虽然装置的主要部分已找回，但约7毫米的套管留在了组织中且无法摸到。使用计算机断层扫描来定位异物，然后在全身麻醉下通过手术将其取出。
断裂并残留的PIVC，尤其是在临床上无法摸到的情况下，由于可能发生栓塞以及随之而来的潜在致命后果，属于紧急情况。本病例强调了在预防方面严格遵守标准指南以及计算机断层扫描在处理这种情况中的重要性。
