Bladder perforation after orthopedic hip surgery

Cohen, Marc; Warner, Roger S.; Fish, Lawrence; Johanson, Karl E.; Farcon, Eduardo

doi:10.1016/0090-4295(77)90349-1

Cited by 17 publications

(8 citation statements)

References 3 publications

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“…Failure to remove these surgical devices, either because of lack of follow-up or because of delay due to a disease process, is associated with this complication. The migration of K-wires has been reported from a few days to years after surgery [5,6]. However, to our knowledge, an unusually long duration for migration of a K-wire across the sigmoid colon has not been reported previously.…”

Section: Discussionmentioning

confidence: 79%

“…However, although migration of K-wires has been reported [4], migration into the gastrointestinal tract, especially with a pin passing across the sigmoid colon, is extremely rare. Intrapelvic migration of K-wires may lead to fatal complications due to injuries to the iliac artery, as well as perforation of the bladder, ureter, rectum, and colon, all of which have been previously reported [5][6][7][8][9]. Failure to remove these surgical devices, either because of lack of follow-up or because of delay due to a disease process, is associated with this complication.…”

Section: Discussionmentioning

confidence: 91%

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Forgotten Kirschner wire passing across the sigmoid colon

Matsumoto

Fukushima

et al. 2017

Clin J Gastroenterol

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The Kirschner wire (K-wire) is used in the treatment of hip fractures, and migration of a K-wire into the pelvis with resultant colon injury is a very rare complication. We report a case in which a forgotten K-wire passing across the sigmoid colon was accidentally found by screening colonoscopy in a patient with no abdominal symptoms. Surgery was performed to remove the K-wire. Although the migration of a K-wire is extremely rare, it is important for it to be considered in patients with a history of orthopedic surgery.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 91%

Forgotten Kirschner wire passing across the sigmoid colon

Matsumoto

Fukushima

et al. 2017

Clin J Gastroenterol

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“…Several reports have been documented in the literature in relation to intrapelvic migration of implants used for fixation of fractures around the hip, such as intrapelvic migration of the threaded pins used in the treatment of femoral neck fractures causing bladder perforation [8,9] and vascular injury [10] and migration of Smith Peterson nails causing perforation of rectum [11] and also asymptomatic migration [12]. In contrast, there have been few reports on iatrogenic migration of the guide wire used at the time of fracture fixation.…”

Section: Discussionmentioning

confidence: 99%

Intraabdominal injuries caused by migration of guide wire after intramedullary osteosynthesis in intertrochanteric hip fracture

et al. 2010

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Intrapelvic migration of implants used for fixation of fractures around the hip represents a totally preventable complication. We present the case of an 89-year-old female patient with an intertrochanteric fracture of the left hip, who underwent intramedullary osteosynthesis with a gamma nail. Four days later, radiologic examination identified that the guide had not been removed during the operation and had migrated into the peritoneal cavity. Ultrasonography and CT scanning failed to confirm intraabdominal or vascular injury. Although the guide wire was removed through the initial incision, the patient developed acute abdominal pain after 6 hours with clinical signs of large and small intestinal ileus and dyspnoea. Urgent investigative laparotomy ensued which disclosed dilation of the small intestine, perforation of the mesosigmoid and mesorectum, injury to the left ovary, linear necrosis of jejunum and bilateral retroperitoneal injuries to iliac fossae. An imminent bowel perforation necessitated small bowel wall debridement and suture-closure. Finally, abdominal lavage was performed and a drainage tube placed in the Douglas pouch. The postoperative course was uneventful and the patient was discharged on the 12 th postoperative day.

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“…Esta complicación es particularmente frecuente en las articulaciones esternoclavicular y acromioclavicular y su migración posterior desde el hombro hacia la cavidad torácica, por primera vez publicado por Mazet (1943). Por su parte, Cohen et al (1977) describieron la perforación de la vejiga como consecuencia de la migración pélvica de una aguja. Varios autores han establecido una relativa frecuencia de presentación de este tipo de complicaciones como Lyons & Rockwood con el hallazgo de 47 casos de migraciones, Freund et al (2007) con 68 casos y Tomak et al con 9 casos de migración.…”

Section: Discussionunclassified

Intrapelvic Migration of Kirschner Wire in Total Hip Arthroplasty with Bone Graft

et al. 2018

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Hip arthroplasty are routine surgical procedures that requires substantial preoperative planning due to the use of all types of implants and orthopedic pins. In this case, the Kirschner wires allow the bone implant fixation to the acetabulum. However, various circumstances may cause migration of the wire placement instead to a nearby anatomical region and may lead to severe and fatal consequences. In this paper a case of migration of the Kirschner wire inside the pelvis occurs after a total hip replacement in a patient diagnosed with bilateral congenital hip dysplasia. The knowledge that the surgeon must possess to manipulate and place this kind of needles is of importance to carry out a suitable and safe surgical procedure, allowing the patient to obtain a refund of the joint function.

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Bladder perforation after orthopedic hip surgery

Cited by 17 publications

References 3 publications

Forgotten Kirschner wire passing across the sigmoid colon

Forgotten Kirschner wire passing across the sigmoid colon

Intraabdominal injuries caused by migration of guide wire after intramedullary osteosynthesis in intertrochanteric hip fracture

Intrapelvic Migration of Kirschner Wire in Total Hip Arthroplasty with Bone Graft

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