Fracture of tissue dilator in the femoral vein during insertion of temporary dialysis catheter: a stitch in time can save nine

Abstract

A 48-year-old man presented to the surgery casualty with 1-day history of broken foreign body during the insertion of dialysis catheter and a failed surgical retrieval. A Doppler ultrasonography of the right groin and lower limb and a noncontrast CT of abdomen and pelvis were performed. Eventhough no intravascular foreign body could be identified on imaging, a decision to re-explore the wound was taken in view of definitive clinical history. A 9.5 cm-long, broken piece of tissue dilator was found inside the right external iliac vein, which was removed through venotomy of the femoral vein. Postoperative recovery was uneventful.

Application of CT Scan in Diagnosis of Iliac-Femoral Vein Thrombosis after Hip Replacement

“…In the process of coagulation fibrinolysis and thrombosis, D dimer changes and can reflect fibrinolysis activity, so DD can be used as a test indicator for diagnosis and monitoring of thrombosis. Yadavalli et al said that there are many factors that can affect the formation of blood clots during bone arthroplasty [ 8 ]. These factors include reduced preoperative activity, immobilization, prolonged postoperative bed rest, and the administration of a tourniquet, which may slow venous return.…”