CT-guided retrieval of a fractured intravenous cannula in a toddler: A case report
Introduction: 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. Case report: An acutely ill 30-month-old boy presented at the emergency room and a P...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-12-01
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| Series: | African Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211419X20300616 |
| _version_ | 1818327731571523584 |
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| author | Peter Olalekan Adeosun Abdulateef Temitope Abdulazeez Uchenna Ifeoma Okeke Olamide Emmanuel Ehinmosan Eziamaka Gloria Eze |
| author_facet | Peter Olalekan Adeosun Abdulateef Temitope Abdulazeez Uchenna Ifeoma Okeke Olamide Emmanuel Ehinmosan Eziamaka Gloria Eze |
| author_sort | Peter Olalekan Adeosun |
| collection | DOAJ |
| description | Introduction: 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. Case report: 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. Discussion: 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. |
| first_indexed | 2024-12-13T12:20:56Z |
| format | Article |
| id | doaj.art-92e3f0bf54a148fa9738f56dc4c016d4 |
| institution | Directory Open Access Journal |
| issn | 2211-419X |
| language | English |
| last_indexed | 2024-12-13T12:20:56Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | African Journal of Emergency Medicine |
| spelling | doaj.art-92e3f0bf54a148fa9738f56dc4c016d42022-12-21T23:46:35ZengElsevierAfrican Journal of Emergency Medicine2211-419X2020-12-01104277280CT-guided retrieval of a fractured intravenous cannula in a toddler: A case reportPeter Olalekan Adeosun0Abdulateef Temitope Abdulazeez1Uchenna Ifeoma Okeke2Olamide Emmanuel Ehinmosan3Eziamaka Gloria Eze4Department of Oral and Maxillofacial Surgery, Nigerian Navy Reference Hospital, Calabar, Cross River State, Nigeria; Corresponding author.Department of Paediatrics, Nigerian Navy Reference Hospital, Calabar, Cross River State, NigeriaDepartment of Radiology, Nigerian Navy Reference Hospital, Calabar, Cross River State, NigeriaAccident and Emergency Department, Nigerian Navy Reference Hospital, Calabar, Cross River State, NigeriaDepartment of Paediatrics, Nigerian Navy Reference Hospital, Calabar, Cross River State, NigeriaIntroduction: 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. Case report: 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. Discussion: 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.http://www.sciencedirect.com/science/article/pii/S2211419X20300616Peripheral intravenous cannulaForeign bodyComputed tomography |
| spellingShingle | Peter Olalekan Adeosun Abdulateef Temitope Abdulazeez Uchenna Ifeoma Okeke Olamide Emmanuel Ehinmosan Eziamaka Gloria Eze CT-guided retrieval of a fractured intravenous cannula in a toddler: A case report African Journal of Emergency Medicine Peripheral intravenous cannula Foreign body Computed tomography |
| title | CT-guided retrieval of a fractured intravenous cannula in a toddler: A case report |
| title_full | CT-guided retrieval of a fractured intravenous cannula in a toddler: A case report |
| title_fullStr | CT-guided retrieval of a fractured intravenous cannula in a toddler: A case report |
| title_full_unstemmed | CT-guided retrieval of a fractured intravenous cannula in a toddler: A case report |
| title_short | CT-guided retrieval of a fractured intravenous cannula in a toddler: A case report |
| title_sort | ct guided retrieval of a fractured intravenous cannula in a toddler a case report |
| topic | Peripheral intravenous cannula Foreign body Computed tomography |
| url | http://www.sciencedirect.com/science/article/pii/S2211419X20300616 |
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