• Qin Ling Zhang, Yan Su, Seidu A Richard, and Zhigang Lan.
• Anesthesia and Surgery Center, Chengdu Shang Jin Nan Fu Branch of West China Hospital, Sichuan University, Chengdu, Sichuan, P. R. China.
• Medicine (Baltimore). 2024 Jul 26; 103 (30): e39077e39077.

RationaleRaney clips are commonly used in neurosurgical procedures to hold the scalp in place and stop bleeding during surgery. The removal of Raney clips is often the last process during cranial surgery prior to the closure of skin incision. Thus, a Raney clip found underneath the titanium mesh resulting in fever is a very rare occurrence.Patient ConcernsAn 18-year-old male patient underwent cranial surgery due to intracranial abscess in the frontal lobe and subsequently underwent frontal skull repair using titanium mesh during which a Raney clip was unintentional left underneath the titanium mesh resulting in fever.DiagnosisA thin-slice computed tomography (CT) scan was used to identify the Raney clip.InterventionA third surgery was performed to remove the Raney clip.OutcomesThe patient fever total resolved after the third surgery with no further neurological deficits and 2-years follow-up revealed the patient is well and go about his daily activities.LessonsIt is crucial to ensure that all foreign objects are removed after the surgery by counting all instruments used at and after each step during the operation, including all Raney clips. This will help prevent complications and ensure the safety as well as the well-being of the patient.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

35 keywords...

hide…