Abstract

### Learning Point for Clinicians Despite its rarity, foreign body lodging into the major peripheral vein due to trauma can travel to central vein and even to the heart. Progressive proximal movement of foreign body should alert clinicians of the possibility of foreign body migration in the vein. Foreign bodies migrating from the major vein to the heart are rare;1 moreover, it is exceptionally rare to capture and report their course from the vein to the heart through sequential imaging. Progressive proximal movement of foreign body should alert clinicians of the possibility of foreign body migration in the vein. We demonstrate through sequential plain radiographs and computed tomography (CT) imaging of the course of an intravenous foreign body travelling to the right ventricle secondary to trauma to the right upper arm. A 35-year-old metal worker presented to a rural hospital with piercing injury to his right upper arm from a piece of metal. Plain radiograph of the right …

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