Chronic unilateral groin pain in a young patient who injects drugs: a case report of needle fragment retentions

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    Abstract

    Background: Subcutaneously retained needle fragments in people who inject drugs (PWIDs) are a possible cause of local symptoms, most commonly pain and infections. It remains unknown how common retained needle fragments are among PWIDs. Case presentation: A young PWID consulted a primary care physician due to chronic left-sided groin pain. The patient suspected retention of a broken needle as the cause. She had used a re-used needle 3 months earlier. A plain pelvic radiograph confirmed a needle fragment in the patient's left groin, and a computed tomography scan located it adjacent to the femoral artery and vein. Another asymptomatic needle fragment was found in the right groin. Conclusion: Needle fragments are possible causes of local symptoms among PWIDs. The clinical examination presents a potential risk of needlestick injury to the examiner, especially because patients may not be aware of all needle fragments as some are asymptomatic.

    Original languageEnglish
    Article number27
    Number of pages3
    JournalAddiction Science and Clinical Practice
    Volume17
    DOIs
    Publication statusPublished - May 2022
    Publication typeB1 Journal article

    Keywords

    • Asymptomatic
    • Needle
    • Pain
    • People who inject drugs
    • PWID

    ASJC Scopus subject areas

    • Clinical Psychology
    • Psychiatry and Mental health

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