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Case Report

Accidental Retention and Ultrasound-Guided Retrieval of a Fractured IV Cannula During Diagnostic Pleural Tap: A Case Report

Anjani Priya Vamula, G Prasad, Hari Deep Y, Maruthi Rama Krishna, IS Chaitanya Kumar, Muni Srikanth

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Indian Journal of Emergency Medicine 12(3):p 135-138, July - Sept. 2026. | DOI: 10.21088/ijem.2395.311X.12326.2

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Received : May 06, 2026         Accepted : June 09, 2026          Published : September 30, 2026

Abstract

Background: Thoracentesis is a commonly performed diagnostic and therapeutic procedure. Although generally safe, rare complications such as retained foreign bodies may occur. Case Presentation: We describe a case involving a 40-year-old female who presented with fever and progressive dyspnea. Imaging revealed a right-sided pleural effusion. During diagnostic pleural tap using a 16G intravenous (IV) cannula, the catheter fractured, with the proximal two-thirds retained in the chest wall. Immediate point-of-care ultrasound (POCUS) and high-resolution computed tomography (HRCT) localized the fragment. The retained segment was successfully retrieved surgically under ultrasound guidance, and the patient recovered uneventfully. Conclusion: This report highlights the importance of vigilance during pleural procedures and emphasizes the role of multimodal imaging, particularly POCUS and HRCT, in the safe localization and retrieval of retained foreign bodies


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Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.



Received Accepted Published
May 06, 2026 June 09, 2026 September 30, 2026

DOI: 10.21088/ijem.2395.311X.12326.2

Keywords

ThoracentesisFractured IV CannulaPleural EffusionUltrasound-Guided Retrieval

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Received May 06, 2026
Accepted June 09, 2026
Published September 30, 2026

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.



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