Beware of Superficial Thrombophlebitis Mimicking a Foreign Body

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Georgiades, Fanourios
Najem, Mojahid
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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.
Research Subject Categories::MEDICINE::Surgery::Surgical research::Vascular surgery
Georgiades F, Najem M. Beware of Superficial Thrombophlebitis Mimicking a Foreign Body. Eur J Vasc Endovasc Surg. 2023 Jun;65(6):849. doi: 10.1016/j.ejvs.2023.03.031. Epub 2023 Mar 21. PMID: 36958481.