title: Migration of a piece of shrapnel: femoral vein to superior vena cava-azygous junction.
abstract: We report a case of a shrapnel injury to the right thigh in which a foreign body had lodged in, and moved freely from, the femoral vein to the inferior vena cava and right atrium. However, instead of going into the right ventricle and pulmonary artery, it lodged itself in the superior vena cava-azygous junction. During the entire period, the patient remained asymptomatic and the foreign body was surgically retrieved uneventfully.
authors: Department of Cardiothoracic and Vascular Surgery, Manmohan Cardiothoracic Vascular and Transplant Centre, Kathmandu, Nepal. koiralabhagawan@gmail.com
authors: Bhagawan
authors: B
authors: Koirala
authors: Kajan Raj
authors: KR
authors: Shrestha
authors: Bibhusal
authors: B
authors: Thapa
authors: Prakash
authors: P
authors: Sayami
mesh_terms: D000328:Adult; D001401:Azygos Vein / Q000000981:diagnostic imaging* / Q000601:surgery*; D005268:Femoral Vein / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging* / Q000601:surgery*; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D007869:Leg Injuries / Q000150:complications / Q000175:diagnosis; D008297:Male; D008670:Metals; D013902:Radiography, Thoracic / Q000379:methods; D035583:Rare Diseases; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging
chemical_list: D008670:Metals