Partially-retained femoral sheath

Case contributed by Dr Chris Newman

Presentation

Elective catheter angiography with right femoral access. Part of femoral access sheath snapped off upon removal. ? location

Patient Data

Age: 70 years
Gender: Male
  • deep to the right-sided femoral puncture site there is a linear hyperdense foreign body in keeping with the suspected partially-retained sheath. It measures approximately 4 cm in length
  • preserved flow within the right femoral artery. No active bleeding or pseudoaneurysm
  • extensive calcified atherosclerotic disease seen throughout the imaged arteries
  • CT pelvis performed from approximately a year prior does not demonstrate the foreign body within the right common femoral artery
  • note the patient has extensive left perineal gas on this examination in keeping with Fornier gangrene

The photo shows a normal length 4 Fr sheath (left of image) beside the culprit snapped sheath in this case (right of image).

Case Discussion

Partially-retained femoral sheath following an elective catheter angiography. 

The reason the sheath snapped is not known, however the extensive hardened and calcified background atherosclerosis may have been the cause.

 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.