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Vascular and Endovascular Surgery
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Newton’s Law to the Rescue: Therapeutic Effects of Gravity Aiding the Management of a Migratory Venous Foreign Body—A Case Report

Prabhu Nanjundeshwar Nesargikar, MRCS

Department of Vascular Surgery Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury, United Kingdom, drbhu{at}hotmail.com

Mark Grannell, FRCS

Department of Vascular Surgery Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury, United Kingdom

David Hinwood, FRCR

Department of Radiology, Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury, United Kingdom

Richard Orme, FRCR

Department of Radiology, Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury, United Kingdom

Andrew Houghton, FRCS

Department of Vascular Surgery Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury, United Kingdom

The management of intravascular metallic foreign bodies (FB) can be difficult and challenging. We report a case of a migrating FB, initially within the femoral vein which subsequently migrated to the intrahepatic venacava. Following a change of posture, the metallic FB moved with gravity against the normal venous blood flow to the left renal vein. It was finally fixed in position in a peripheral branch of the renal vein using an intravascular stent. Employing gravity as a therapeutic intervention and the technique used in isolating the FB has not, to our knowledge, been reported before. A case is described, and the literature is reviewed.

Key Words: migratory venous foreign body • gravity • endovascular stent

This version was published on August 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 4, 406-409 (2009)
DOI: 10.1177/1538574409336481
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