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Published on: September 11, 2018
A foreign body in the cephalic vein: A case report
Mingzhi Song1, Maohua Wei, Ze Song
1Department 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.
A forearm foreign body was successfully removed using X-ray and C-arm fluoroscope imaging. Accurate diagnosis and preoperative planning are crucial for managing vascular foreign bodies.
Area of Science:
- Vascular Surgery
- Medical Imaging
Background:
- Foreign bodies in the vasculature present diagnostic and treatment challenges for clinicians.
- Physician experience with non-iatrogenic venous foreign body migration is limited.
Observation:
- A 41-year-old male presented with a foreign body in his left forearm after a work-related injury.
- Initial X-ray revealed a 3-mm high-density shadow in the superficial soft tissue.
Findings:
- A C-arm fluoroscope precisely located the foreign body during surgery.
- Complete removal of the foreign body was achieved via microsuture of the cephalic vein.
Implications:
- Accurate diagnosis and localization of superficial foreign bodies are essential.
- Combining imaging (X-ray, C-arm fluoroscope) with medical history ensures adequate preoperative preparation for vascular foreign body removal.
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