Beware of superficial thrombophlebitis mimicking a foreign body.

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Authors
Georgiades, F.
Najem, M.
Issue Date
2023
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Scientific Paper
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Research Subject Categories::MEDICINE::Surgery::Surgical research::Vascular surgery
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Abstract
A 37 year old woman was admitted with diabetic ketoacidosis. She later complained of pain, swelling, and a rash at a previous venous catheter site. The patient was afebrile, with an erythematous, oedematous, tender right forearm without any fluctuant areas. Ultrasound identified an irregular 4 cm echogenic material (A) within the right cephalic vein, occupying part of the lumen that was partially compressible (B). This was reported as an intravenous foreign body and may have represented a retained cannula catheter. The vascular multidisciplinary team disagreed and concluded this was superficial thrombophlebitis. The patient was treated with non-steroidal anti-inflammatory drugs and recovered well.
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Georgiades F, Najem M Beware of Superficial Thrombophlebitis Mimicking a Foreign Body European Journal of Vascular and Endovascular Surgery, 2023; 65849
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