title: A close cut: a technical report of endovascular removal of a penetrating intravascular foreign body after a lawn mowing injury.
abstract: We present a case of endovascular retrieval of a penetrating foreign body that was originally lodged in the mediastinum and then migrated to the hepatic vein. The steel nail entered the thorax and traversed the left lung causing a pneumothorax. The patient underwent a thoracotomy, but the foreign body had migrated from its original mediastinal position. A postsurgical CT showed that the object was below the right hemidiaphragm. Diagnostic venogram demonstrated that the object was in the main hepatic vein. Using a double-snare technique, the object was safely and successfully removed from the hepatic vein via the right common femoral vein.
authors.affiliation: Department of Radiology, Oxford University Hospitals, John Radcliffe Hospital, Headington, Oxford, OX3 9DS, UK.
authors.forename: C R
authors.initials: CR
authors.lastname: Tapping
authors.forename: A
authors.initials: A
authors.lastname: Gallo
authors.forename: R J
authors.initials: RJ
authors.lastname: De Silva
authors.forename: R
authors.initials: R
authors.lastname: Uberoi
mesh_terms: D000061:Accidents, Home; D000328:Adult; D000792:Angiography; D003287:Contrast Media; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007472:Iohexol; D008297:Male; D013898:Thoracic Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional
chemical_list: D003287:Contrast Media; D007472:Iohexol