Retained haemodialysis-catheter guidewire in the head and neck: a multidisciplinary team approach

BMJ Case Rep. 2020 Oct 27;13(10):e236484. doi: 10.1136/bcr-2020-236484.

Abstract

Penetrating foreign body in the head and neck can be catastrophic from injury to the constellation of vascular and neural structures in the neck. Early recognition and prompt surgical intervention is imperative to save lives. Herein, we present an unusual case of iatrogenic foreign body-a coiled guidewire embedded in the deep neck space. The complications, radiological investigation and multidisciplinary surgical management are further discussed.

Keywords: ear; healthcare improvement and patient safety; nose and throat/otolaryngology.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Catheters / adverse effects*
  • Computed Tomography Angiography
  • Craniocerebral Trauma / diagnosis*
  • Craniocerebral Trauma / etiology
  • Craniocerebral Trauma / surgery
  • Device Removal / methods
  • Foreign Bodies / diagnosis*
  • Foreign Bodies / etiology
  • Foreign Bodies / surgery
  • Humans
  • Male
  • Neck Injuries / diagnosis*
  • Neck Injuries / etiology
  • Neck Injuries / surgery
  • Patient Care Team*
  • Renal Dialysis / adverse effects*
  • Tomography, X-Ray Computed
  • Wounds, Penetrating / diagnosis*
  • Wounds, Penetrating / etiology
  • Wounds, Penetrating / surgery