CTICasesEmbolized Broken Needle causing RV Perforation
Imaging findings
CT chest shows a linear metallic fragment (broken needle) perforating the right ventricular free wall, surrounded by a hemopericardium. A second needle fragment is visible in the soft tissues of the neck.
Key takeaways
Intravenous drug use can lead to broken needles that embolize to the right heart. These fragments can perforate the thin right ventricular wall, leading to hemopericardium and tamponade.
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