Introduction: Placing of Peripheral intravenous catheters in patients for the purposes of infusion is common around the world. Catheter clotting and other complications cost the healthcare system over one billion dollar each year.
Case Report: A 17 year female patient was admitted for carbolic acid poisoning & during the treatment period, when 20 F cannula inserted in the median cubital vein, was removed by the nurse, Pt c/o swelling & cord like feeling which was painful. Physical examination revealed a distinct cord-like object palpable under the skin at the insertion point. She was immediately brought to emergency department, where ultra-sonography identified a foreign body within the median cubital vein. The object was removed by venous cut down under local anesthesia and was identified as the missing catheter fragment. The patient had an uneventful recovery and was discharged from the hospital the next day.
Discussion: Catheter fracture is a known complication of intravascular placement of plastic catheters. The majority of these reports relate to the use of central line catheters, with catheter fragments ranging from 3.5 to 72 cm in length and resulting in a range of complications including sepsis, perforation, thrombosis, dysrhythmia, and myocardial infarction.
Peripheral IV Cannula, central venous catheter, thrombophlebitis.