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Retained Jugular Needle Fragments from IV Drug Abuse

Imaging findings

Neck radiograph and CT show multiple retained, broken metallic needle fragments in the soft tissues of the neck adjacent to the internal jugular veins. The patient presented with retropharyngeal abscesses and gas collections.

Key takeaways

Intravenous drug users who inject into the internal jugular vein can break off needle fragments in the soft tissues of the neck. These fragments remain chronically and are often associated with soft tissue abscesses, thrombophlebitis, and carotid sheath injuries.

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