Case report: Iatrogenic fracture of intravenous cannula during removal with proximal migration

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.