Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 10 2 2023 12 27 198 200 Malihe Sehat Department of Anesthesiology, Shahid Beheshti Hospital, School of Medicine, Qom University of Medical Sciences, Qom, Iran. Abbas Ahmadi Department of Anesthesiology, Shahid Beheshti Hospital, School of Medicine, Qom University of Medical Sciences, Qom, Iran. 2023 04 27 2023 06 25 Complete remaining guide wire in the vascular system after CVC is very rare. For which the maximum symptom-free reporting time in studies was five months, and in our case, the patient was symptom-free for one year. The only finding was one session complaining of ear pain and mastoid tenderness two weeks after catheter placement. A 42-year-old male patient with the diagnosis of necrotizing pancreatitis and a retroperitoneal abscess was a candidate for laparotomy after ERCP. The patient was a candidate for central venous catheter insertion through the internal jugular vein before the surgery in the operating room by a third-year anesthesia resident. After one year, discovered that incidentally remaining guide wire during a follow-up MRI before pancreatitis. Which has been asymptomatic during this period. And despite the risk of rupture of the right heart and blood vessels due to possible fibrosis due to a long stay in the cardiovascular system, it is successfully removed by an endovascular surgeon. The main reasons for the incident were the non-observance of scientific and safety principles at the time of catheter insertion and the failure to perform CXR after that. https://aacc.tums.ac.ir/index.php/aacc/article/view/745