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Introduction: Carpal tunnel syndrome (CTS) can be an initial sign of underlying undiagnosed disorders like hypothyroidism or rheumatoid arthritis. The erosive type of CTS is rare and generally requires carpal tunnel release surgery as a treatment modality Case: A 55-year-old gentleman presented with paraesthesia and spontaneous digital ulceration of the distal finger in both hands over 5 months. Initially managed as some vascular disorder by physicians. Later on, in nerve conduction studies, CTS was diagnosed. The patient was further investigated for etiology leading to the diagnosis of hypothyroidism and rheumatoid arthritis. These were managed with medications and CTS was managed with the surgical release. The paraesthesia was relieved post-surgically and digital ulceration healed over a few weeks. Conclusion: Digital ulcerations can be a presentation of CTS rather than vascular/vessel disorder. The physician should be aware of CTS erosive variety and further investigate the etiology like hypothyroidism, and rheumatoid arthritis. The etiological factors should be treated first before embarking on surgical carpal tunnel release.

Temporary epicardial pacing wires are used routinely in the postoperative period to prevent brady-arrythmias and maintain hemodynamic condition. Their safety and efficacy have been widely accepted with a low incidence of complications. Complications associated with temporary epicardial pacing wires may occur during removal or may be related to retained wires. Migration is one of the well-established but rare complications of retained epicardial pacing wire. Though migrations to various organs have been well documented in the literature, there are only few reports on intra-aortic migration of pacing wires in the postoperative period. Further, it is important for radiologists to know and identify these epicardial pacing wires as they may be associated with complications like superadded infection, migration to surrounding or distant areas, and injury to the heart and vessels.