Broken Needle Embedded in the Body during Vascular Puncture

The use of needles is essential in most medical procedures and surgery; however, needle breakage is not known to happen very frequently. Even if it does, it is most likely to occur during dental procedures, sutures, aspiration, biopsy, anesthesia, and drug abuse. To our knowledge, this is the first...

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Main Author: Hye Sook Choi
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/8/1436
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author Hye Sook Choi
author_facet Hye Sook Choi
author_sort Hye Sook Choi
collection DOAJ
description The use of needles is essential in most medical procedures and surgery; however, needle breakage is not known to happen very frequently. Even if it does, it is most likely to occur during dental procedures, sutures, aspiration, biopsy, anesthesia, and drug abuse. To our knowledge, this is the first report about needle detachment from the syringe during a vascular puncture for blood collection. In this case, an 87-year-old obese woman with generalized edema had repeated vascular punctures to the femoral artery for arterial blood gas analysis (ABGA). After blood collection at this instance, when the syringe was pulled out, the needle was detached from it. Radiography revealed that the broken needle was lodged in the groin. A surgical incision with the fluoroscopic radiography located the embedded needle in the soft tissue and allowed the retrieval of its fragments from the groin soft tissue. Obesity and repeated punctures may increase the risk of needle breakage and prior inspection of needles for such procedures may be necessary.
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spelling doaj.art-f2be97dd993248c194584c80bbc442142023-12-03T13:44:14ZengMDPI AGHealthcare2227-90322022-07-01108143610.3390/healthcare10081436Broken Needle Embedded in the Body during Vascular PunctureHye Sook Choi0Department of Internal Medicine, Kyung Hee University Medical Center, #23 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, KoreaThe use of needles is essential in most medical procedures and surgery; however, needle breakage is not known to happen very frequently. Even if it does, it is most likely to occur during dental procedures, sutures, aspiration, biopsy, anesthesia, and drug abuse. To our knowledge, this is the first report about needle detachment from the syringe during a vascular puncture for blood collection. In this case, an 87-year-old obese woman with generalized edema had repeated vascular punctures to the femoral artery for arterial blood gas analysis (ABGA). After blood collection at this instance, when the syringe was pulled out, the needle was detached from it. Radiography revealed that the broken needle was lodged in the groin. A surgical incision with the fluoroscopic radiography located the embedded needle in the soft tissue and allowed the retrieval of its fragments from the groin soft tissue. Obesity and repeated punctures may increase the risk of needle breakage and prior inspection of needles for such procedures may be necessary.https://www.mdpi.com/2227-9032/10/8/1436broken needlevascular puncturefluoroscopic radiography
spellingShingle Hye Sook Choi
Broken Needle Embedded in the Body during Vascular Puncture
Healthcare
broken needle
vascular puncture
fluoroscopic radiography
title Broken Needle Embedded in the Body during Vascular Puncture
title_full Broken Needle Embedded in the Body during Vascular Puncture
title_fullStr Broken Needle Embedded in the Body during Vascular Puncture
title_full_unstemmed Broken Needle Embedded in the Body during Vascular Puncture
title_short Broken Needle Embedded in the Body during Vascular Puncture
title_sort broken needle embedded in the body during vascular puncture
topic broken needle
vascular puncture
fluoroscopic radiography
url https://www.mdpi.com/2227-9032/10/8/1436
work_keys_str_mv AT hyesookchoi brokenneedleembeddedinthebodyduringvascularpuncture