Iatrogenic complications: a line’s share


  • Kapil Baliga Department of Surgery, Indira Gandhi Medical College and Research Institute, Puducherry, India
  • Elamurugan Sujindra Department of Obstetrics and Gynecology, Indira Gandhi Medical College and Research Institute, Puducherry, India




Foreign body, Iatrogenic, Intravenous cannula, Venotomy


Encountering foreign bodies in clinical practice is not uncommon. More so are intra-vascular foreign bodies. Foreign bodies encountered vary in different scenarios depending on the person; children, elderly or mentally retarded or the cause; iatrogenic as in our case. In clinical practice vascular foreign bodies are the most commonly encountered iatrogenic foreign bodies. Fracture of intravenous catheter is one of those iatrogenic vascular foreign bodies. Here we describe a case report on a vascular foreign body due to fracture of intravenous cannula in the cephalic vein and which has migrated proximally.


Scales K. Intravenous therapy: a guide to good practice. Br J Nurs.2008;17(19):4-12.

Steele J. Practical IV Therapy. 2nd edition. Springhouse, PA: Springhouse Corp;1996:68-69, 86-99.

Goh YN, Tan NG. Radiological features of unusual ingested foreign bodies. Singapore Med J. 2001; 42(3):129-30.

Hart BL, Newell JD, Davis M. Pulmonary needle embolism from intravenous drug abuse. Can Assoc Radiol J. 1989;40(6):326-7.

Khadim MF, Leonard D, Moorehead RA, Hill C. Back to basics: iatrogenic intravenous cannula embolus. Ann R CollSurg Engl. 2013;95(7):110-1.

Surov A, Wienke A, Carter JM. Intra vascular embolization of venous catheter causes, clinical signs, and management: A systematic review. J Parenter Enteral Nutr. 2009;33:677-85.

Glassberg E, Lending G, Abbou B, Lipsky AM. Something's missing: peripheral intravenous catheter fracture. Journal Am Board Family Medicine. 2013;26:805-6.

Lyon SM, Given M, Marshall NL. Interventional radiology in the provision and maintenance of long-term central venous access. J Med Imaging Radiat Oncol. 2008;52:10-7.