Broken needle in gluteal region following an intramuscular injection: a case report
Keywords:Injection, Needle, Intramuscular
Incidence of broken hypodermic needle in patients has been decreased because of superior manufacturing techniques. Breaking of hypodermic needle after intramuscular injection has been rarely reported. We report a case of broken needle in the gluteal region in a 36 years old woman following an intramuscular injection. Patient arrived in the emergency after 2 days of the episode. Patient was taken for surgery for removal of the needle. Initially attempts for removal of needle were made without use of image intensifier under local anaesthesia, but it failed as it was very difficult to locate the needle. Patient was taken up for surgery under spinal anaesthesia with the use of image intensifier. Broken needle was located and removed. The following case describes the management of broken hypodermic needle and suggests valuable guidelines for minimising the chances of undue complications arising due to needle migration.
Augello M, von Jackowski J, Gratz KW, Jacobsen C. Needle breakage during local anesthesia in the oral cavity--a retrospective of the last 50 years with guidelines for treatment and prevention. Clin Oral Investig. 2011;15:3–8.
Malamed SF, Reed K, Poorsattar S. Needle breakage: Incidence and prevention. Dent Clin North Am. 2010;54:745–56.
Fitzpatrick B. The broken dental needle. Aust Dental J. 1967;12:243.
Thompsons M, Wright S, Cheng LH, Starr D. Loacating broken dental needles. Int J Oral Maxillofac Surg. 2003;32:642-44.
Sahin B, Yildirimturk S, Sirin Y, Basaran B. Displacement of a Broken Dental Injection Needle Into the Perivertebral Space. J Craniofac Surg. 2017;28(5):474-7.
Moore K, Khan NR, Michael LM, Arthur AS, Hoit D. Endovascular retrieval of dental needle retained in the internal carotid artery. J Neuro Int Surg. 2017;9:26.
Sencimen M, Bayar GR, Gulses A. Removal of the retained suture needle under C-arm fluoroscopy: a technical note. Dent Traumatol. 2010;26(6):527-9.
Brown LJ, Meerkotter VA. Unusual experience with a broken needle. J Dent Ass S Afr. 1963;18:74.
Malamed SF. Handbook of Local Anaesthesia. 2nd ED. St Louis: Mosby; 2012: 230-231.
Fraser-Moodie W. Recovery of broken needles. Brit Dent J. 1958;105:79.
Bedrock RD, Skigen A, Dolwick MF. Retrieval of broken needle in the pterygomandibular space. J Am Dent Assoc. 2003;130:685-7.
Fu X, Chen K, Liao X, Shen K. Case report: surgical removal of a migrated needle in right ventricle of an intravenous drug user. Subst Abuse Treat Prev Policy. 2017;12:51.
Cohen DM, Garcia CT, Dietrich AM, Hickey RW Jr. Miniature C-Arm imaging: an in vitro study of detecting foreign bodies in the emergency department. Padiatr Emerg Care. 1997;13:247-9.
Ma CJ, Jan CM, Hsieh JS, Huang YS, Wang WM, Chan HM, et al. Successful localization and surgical removal of ingested sewing needles under mini C-Arm Flouroscopy :a case report. Kaohsiung J Med Sci. 2006:22;457-60.
Mcdonogh T. Anunusual case of trismus and dysphagia. Br Dent J. 1996;33:465-6.
Chittenden HB, Chandra A, Sandy CJ. Use of an electromagnet to retrieve a broken fascia needle during frontalis sling surgery. Ophthal Plast Reconstr Surg. 2005;21(6):469-70.