CT-guided retrieval of a fractured intravenous cannula in a toddler: A case report

• Main Authors: Peter Olalekan Adeosun, Abdulateef Temitope Abdulazeez, Uchenna Ifeoma Okeke, Olamide Emmanuel Ehinmosan, Eziamaka Gloria Eze
• Format: Article
• Language: English
• Published: Elsevier 2020-12-01
• Series: African Journal of Emergency Medicine
• Subjects: Peripheral intravenous cannula; Foreign body; Computed tomography
• Online Access: http://www.sciencedirect.com/science/article/pii/S2211419X20300616

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.