Needles, needles, everywhere!

摘要

A 55-YR-OLD man with end-stage renal disease presented for emergent removal of an infected arteriovenous dialysis graft. This patient had multisystemic disease, including hepatitis C, human immunodeficiency virus, cardiomy-opathy, and atrial fibrillation. He also had a history of left internal jugular thrombosis and right common carotid septic pseudoaneu-rysm, corrected via partial sternot-omy. A chest x-ray film taken in the emergency department revealed partial sternotomy wires, but also showed countless metallic fragments distributed throughout the neck (see magnified view in center of x-ray film), chest, and upperarms