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Fracture of tissue dilator in the femoral vein during insertion of temporary dialysis catheter: a stitch in time can save nine
  1. Sai Divya Yadavalli1,
  2. Manjunath Maruti Pol1,
  3. Surabhi Vyas2 and
  4. Meghana Venkatesh1
  1. 1Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India
  2. 2Radio Diagnosis, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Manjunath Maruti Pol; manjunath.pol{at}


A 48-year-old man presented to the surgery casualty with 1-day history of broken foreign body during the insertion of dialysis catheter and a failed surgical retrieval. A Doppler ultrasonography of the right groin and lower limb and a noncontrast CT of abdomen and pelvis were performed. Eventhough no intravascular foreign body could be identified on imaging, a decision to re-explore the wound was taken in view of definitive clinical history. A 9.5 cm-long, broken piece of tissue dilator was found inside the right external iliac vein, which was removed through venotomy of the femoral vein. Postoperative recovery was uneventful.

  • vascular surgery
  • radiology (diagnostics)
  • dialysis

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  • Contributors MMP conceived the design. The patient was evaluated, worked up and discussed by SDY with MMP. SV was involved in radiological discussion and providing radiological findings. The patient was operated by MMP. SD and MVP collected the operating steps and photographs. Demography of the patient, clinical details and image editing was done by MMP and SV. Manuscript was prepared by SD. MV, MMP and SV. The case report was written, critically analysed and uploaded by MMP. The reply to the reviewer was responded by SD, MMP and SV. Final approval of the case report has been provided by MMP, SV, SD and MV. Overall responsibility and corresponding author is MMP.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.