Pulmonary Foreign Body Embolism and Granulomatosis in Intravenous Substance Abuse

2013 ◽  
Vol 3 (4) ◽  
pp. 359-369
Author(s):  
David K. Arboe ◽  
Joseph F. Tomashefski
Keyword(s):  
Substance Abuse ◽  
Foreign Body ◽  
Foreign Body Embolism ◽  
Intravenous Substance Abuse

Hyperbaric oxygen therapy and fluorescence angiography in arterial insufficiency secondary to injection of crushed hydromorphone

2021 ◽  
pp. 255-261
Author(s):  
Kristi Ray ◽  
◽  
Davut Savaser ◽  
Enoch Huang ◽  
◽  
...  
Keyword(s):  
Foreign Body ◽  
Hyperbaric Oxygen ◽  
Tissue Perfusion ◽  
Adjunctive Treatment ◽  
Fluorescence Angiography ◽  
Dominant Male ◽  
Left Hand ◽  
Venous Circulation ◽  
Arterial Insufficiency ◽  
Foreign Body Embolism

Introduction: Foreign body emboli can lead to acute arterial insufficiency. We present a case report of upper extremity arterial insufficiency in an intravenous (IV) drug user secondary to intra-arterial injection of crushed tablet particles successfully treated with hyperbaric oxygen (HBO2) therapy. Case: A 37-year-old right-hand-dominant male developed pain and swelling of the left hand after attempting to inject crushed hydromorphone tablets into his venous circulation. Angiography revealed incomplete distal filling of the proper digital arteries, princeps pollicis, and radialis indicis branches of the left hand. The patient was treated with HBO2 for acute arterial insufficiency, secondary to these findings. Fluorescence angiography was performed prior to, during and after completion of HBO2, which showed improved perfusion of the hand upon completion of serial imaging. The patient underwent subsequent partial amputation of the left second digit and removal of the thenar and third finger pads. Discussion: Much of the literature on treatment of arterial insufficiency with HBO2 are in relation to chronic problem wounds. However, there is limited data on adjunctive treatment with HBO2 for foreign body embolism. Fluorescence angiography and clinical exam were used to track tissue perfusion and progression throughout course of therapy with HBO2. Conclusion: Acute arterial insufficiency induced by foreign body embolism was successfully treated with HBO2 and provided increased tissue salvage of the patient’s hand. The use of fluorescence angiography as a secondary measure of perfusion can provide additional insight regarding qualitative tissue oxygenation and may be a viable tool to track patient progress during HBO2 treatment.

scholarly journals An Unusual Case of Swab Embolism

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
N. G. Naidoo ◽  
D. Kahn ◽  
S. Mfolozi
Keyword(s):  
Foreign Body ◽  
Surgical Procedure ◽  
Unusual Case ◽  
Intravascular Foreign Body ◽  
Foreign Body Embolism

Intravascular foreign body embolism is an exceptionally uncommon problem. We report on an unusual case of a surgical swab embolism which occurred during a thoracic surgical procedure.

Intravenous substance abuse and a presacral mass

JAMA ◽  
1990 ◽  
Vol 263 (11) ◽  
pp. 1496b-1496
Author(s):  
L. Nathan
Keyword(s):  
Substance Abuse ◽  
Presacral Mass ◽  
Intravenous Substance Abuse
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