PMC8083049_01
A. Abdominal X-ray demonstrated a broken needle in projection of the right acetabulum; B. Enhanced abdominal computed tomography showed bilateral femoral septic thromboses as well as absence of the broken needle previously visualized on abdominal X-ray; C. Computed tomography showed presence of the needle in the right ventricular apex; D. Multiplanar and three-dimensional reconstructions showed that the needle fragment was not free in the ventricular cavity.
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Groin ultrasound examination demonstrated acute femoral vein thrombosis and a foreign body in the surrounding tissue that an abdominal X-ray identified as a broken needle in projection of the right acetabulum (Fig. 1A). Enhanced abdominal computed tomography showed bilateral femoral septic thromboses (Fig. 1B) and migration of the needle previously visualized on the abdominal X-ray from the groin region to the right ventricular apex (Fig. 1C). Multiplanar and three-dimensional reconstructions (Fig. 1D) showed that the needle fragment was not free in the ventricular cavity, which was confirmed by unsuccessful percutaneous transcatheter maneuvers to retrieve it.