Complex endovascular retrieval of an intravascular foreign body

Abstract We report a Case of a 54-year-old male who developed bilateral multifocal pneumonia as a result of septic thrombo-embolization from an ingested ballpoint pen which migrated through the gastrointestinal system and lodged in the inferior vena cava. The ballpoint pen was removed from the inferior vena cava with a complex endovascular approach utilizing internal jugular and common femoral vein access with the combination of a snare device and atraumatic laparoscopic grasper. He was also found to have a duodenal perforation requiring primary repair in a staged fashion following endovascular removal of the ballpoint pen.