Newton's Law to the rescue: therapeutic effects of gravity aiding the management of a migratory venous foreign body--a case report.
The management of intravascular metallic foreign bodies (FB) can be difficult and challenging. We report a case of a migrating FB, initially within the femoral vein which subsequently migrated to the intrahepatic vena-cava. Following a change of posture, the metallic FB moved with gravity against the normal venous blood flow to the left renal vein. It was finally fixed in position in a peripheral branch of the renal vein using an intravascular stent. Employing gravity as a therapeutic intervention and the technique used in isolating the FB has not, to our knowledge, been reported before. A case is described, and the literature is reviewed.
Nesargikar
Prabhu Nanjundeshwar
PN
Department of Vascular Surgery, Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury, United Kingdom. drbhu@hotmail.com
Grannell
Mark
M
Hinwood
David
D
Orme
Richard
R
Houghton
Andrew
A
D000062:Accidents, Occupational; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D002406:Catheterization, Peripheral / Q000295:instrumentation*; D005268:Femoral Vein / Q000000981:diagnostic imaging; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006112:Gravitation; D006801:Humans; D008297:Male; D010690:Phlebography; D011187:Posture; D011890:Railroads; D012082:Renal Veins / Q000000981:diagnostic imaging; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014684:Venae Cavae / Q000000981:diagnostic imaging; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
D000925:Anticoagulants