Challenging Retrieval of a Migrated Peripheral Venous Cannula Fragment in an Obstetric Patient: Case Report
Abstract
1. Introduction
2. Case Presentation
| Date | Events | Action |
|---|---|---|
| 28 July 2025 19:00 | Event No. 1: Peripheral intravascular catheter for blood sampling and medication | Right cephalic vein cannulation in antecubital fossa. Difficult cannulation. Single reinsertion of the introducer needle occurred during the procedure. |
| 31 July 2025 22:00 | Event No. 2: Fractured peripheral intravenous catheter observed | Vascular surgeon: ultrasonography shows intravascular fragment 1 cm above the puncture site, proximal end adherent to the venous wall (cephalic vein). |
| 1 August 2025, 00:30–02:00 | Event No. 3: First surgical exploration of the cephalic vein (brachial segment) | Exploration in OR, under local anesthesia (Lidocaine 1%, 250 mg), 2 incisions (brachial region):
After approximately 90 min of operative time, the intervention was discontinued, unsuccessful retrieval was declared. Additionally, as the effect of local anesthesia began to wear off, the risks and benefits of proceeding with general anesthesia in this obstetric patient were carefully weighed. Plan: repeat ultrasound, involve a more experienced surgeon. |
| 1 August 2025 02:15 | Event No. 4: Postoperative ultrasonography | Retained catheter fragment in the deltopectoral groove, with the catheter tip adherent/fixed to the venous wall (Figure 1). Owing to the sharp angulation of the cephalic arch, which impeded passage of the foreign body, and the firm adherence of the catheter fragment to the venous wall, further exploration was deferred. In addition, ligation of the cephalic vein resulted in absent flow, thereby lowering the risk of fragment migration. Plan: exploration by experienced surgeon. |
| 5 August 2025 13:45 | Event No. 5: Third ultrasonography | The intravascular catheter fragment maintained its location within the deltopectoral groove, as described on the postoperative ultrasound, associated with intraluminal thrombosis (as expected after vein ligation) of the cephalic vein surrounding the foreign body. |
| 5 August 2025 14:00 | Event No. 6: Surgical exploration by experienced vascular surgeon (deltopectoral groove) | A surgical venotomy of the cephalic vein was performed in the deltopectoral groove through a transverse incision. Following careful dissection and exposure, the cephalic vein was incised and explored intraluminal. At this level, thrombotic material was identified and direct thrombectomy was performed. Following thrombectomy, 2F Fogarty-type catheter was then advanced repeatedly through the venotomy in an antegrade direction. This maneuver allowed successful engagement and retrieval of the retained catheter fragment (Figure 2). Ligation of the cephalic vein was also performed at this level. Location: OR, under local anesthesia (Lidocaine 1% 150 mg). Duration: 35 min. For better understanding of the incision sites, please refer to Figure 3. |



3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
| p-PROM | preterm prelabor rupture of membranes |
| ALARA | As Low As Reasonably Achievable |
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| Author/Year of Publication | Patient Category | Catheter Rupture Site | Diagnostic | Retrieval |
|---|---|---|---|---|
| Lingling Pu, 2025 [8] | Neonate (1-day-old) | Left axillary vein | CT angiography | Surgical retrieval |
| Infant (1-year-old) | Right temporal superficial vein | Ultrasound CT angiography | Surgical retrieval | |
| Suresh Giragani, 2021 [37] | Adult (55 years mal) | Dorsum of right hand | Chest X-ray Multidetector CT | Endovascular retrieval |
| Phong Jhiew Khoo, 2018 [38] | Adult (30-year-old female) | Right dorsal metacarpal vein | Arm X-ray | Surgical removal (general surgery) |
| Gang Wang, 2024 [10] | Neonate (1-day-old) | Right median cubital vein | Ultrasound Echocardiography Chest X-ray | Surgical removal (sternotomy) |
| Aisvarya Girotra Kapoor, 2024 [39] | Adult (male, 20 s) | Right cephalic vein | CT scan-refused by the patient Ultrasound | Surgical retrieval (vascular surgery) |
| Peter Olalekan Adeosu, 2020 [40] | Infant (30-month-old) | Left hand dorsal vein | Ultrasound Arm X-ray CT scan | Surgical retrieval |
| Ayesha Masood, 2021 [41] | Adult (40 years old male) | Left cubital fossa | Arm X-ray Ultrasonography | Surgical retrieval (vascular surgery) |
| Chitta Ranjan Mohanty, 2018 [42] | Adult (65-year-old female) | Left external jugular vein | Ultrasound CT scan | Surgical retrieval |
| Nyamuryekung’e MK, 2020 [33] | Adult (76-year-old male) | Cubital fossa | Ultrasound | Surgical retrieval |
| Kapil Baliga, 2016 [17] | Obstetric-postpartum, post c-section | Cephalic vein | Arm X-ray Ultrasound | Surgical retrieval |
| Raj Ranjan Kumar, 2020 [18] | Obstetric-postpartum, post c-section | Left mid forearm | Arm X-ray Ultrasonography | Surgical retrieval |
| Arua, Onyinyechukwu Adaeze, 2024 [19] | Adult (23-year-old female) | Left median cubital vein | Ultrasonography | Surgical retrieval |
| Obstetric-postpartum | Left cephalic vein | Ultrasonography | Surgical retrieval | |
| Christian Emeka Amadi, 2024 [20] | 13 obstetric-postpartum 1 adult (female) 1 adult (male) | Cubital fossa—10 cases Forearm—3 cases Neck—2 cases | Ultrasonography | Surgical retrieval |
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Szederjesi, J.; Azamfirei, L.; Turos, J.L.; Arbănași, E.M.; Șalari, G.; Keresztes, M. Challenging Retrieval of a Migrated Peripheral Venous Cannula Fragment in an Obstetric Patient: Case Report. Life 2026, 16, 717. https://doi.org/10.3390/life16050717
Szederjesi J, Azamfirei L, Turos JL, Arbănași EM, Șalari G, Keresztes M. Challenging Retrieval of a Migrated Peripheral Venous Cannula Fragment in an Obstetric Patient: Case Report. Life. 2026; 16(5):717. https://doi.org/10.3390/life16050717
Chicago/Turabian StyleSzederjesi, Janos, Leonard Azamfirei, János Levente Turos, Emil Marian Arbănași, Gabriela Șalari, and Matild Keresztes. 2026. "Challenging Retrieval of a Migrated Peripheral Venous Cannula Fragment in an Obstetric Patient: Case Report" Life 16, no. 5: 717. https://doi.org/10.3390/life16050717
APA StyleSzederjesi, J., Azamfirei, L., Turos, J. L., Arbănași, E. M., Șalari, G., & Keresztes, M. (2026). Challenging Retrieval of a Migrated Peripheral Venous Cannula Fragment in an Obstetric Patient: Case Report. Life, 16(5), 717. https://doi.org/10.3390/life16050717

