title: A delayed diagnosis of a retained guidewire during central venous catheterisation: a case report and review of the literature.
abstract: Central venous catheterisation allows delivery of medications, intravenous fluids, parenteral nutrition, haemodialysis and monitoring of haemodynamic variables. Various complications may occur during and after the procedure. However, the complete guidewire retention has rarely been reported. In this report, we have presented a complete guidewire retention as a result of inadvertent catheter insertion. After 17 months of the first operation performed upon the diagnosis of Fournier's gangrene, the patient was admitted to the cardiology polyclinic with a recurrent chest pain. Echocardiography showed a wire-shaped foreign body within the right part of the heart, and a fluoroscopic examination showed a guidewire reaching from the superior vena cava to the right external iliac vein. In retrospect, the wire was already visible on the postoperative chest x-rays and CT taken while the patient was still in intensive care unit, but its presence was overlooked at that time. The guidewire was retrieved completely during a surgery.
authors.affiliation: Department of Radiology, Sakarya University Medical Faculty, Sakarya, Turkey. dryasemingunduz@yahoo.com
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Gunduz
authors.forename: Mehmet Bulent
authors.initials: MB
authors.lastname: Vatan
authors.forename: Altug
authors.initials: A
authors.lastname: Osken
authors.forename: Mehmet Akif
authors.initials: MA
authors.lastname: Cakar
mesh_terms: D002405:Catheterization, Central Venous / Q000295:instrumentation*; D002408:Catheters, Indwelling; D002637:Chest Pain / Q000209:etiology*; D005471:Fluoroscopy; D005547:Foreign Bodies / Q000175:diagnosis*; D018934:Fournier Gangrene / Q000601:surgery*; D006325:Heart Atria; D006801:Humans; D007084:Iliac Vein; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis*; D014463:Ultrasonography; D014683:Vena Cava, Superior