External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported Complication
Background. K-wires are thought to be extremely safe implants and complications as a result of direct insertion or migration are very rare. Complications may be life-threatening in some instances where migration results in injury to vital organs. We report one such case where antegrade migration of...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/207078 |
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| author | Nagmani Singh Chakra Raj Pandey Bhaskar Raj Pant Uttam Krishna Shrestha Biraj Bista |
| author_facet | Nagmani Singh Chakra Raj Pandey Bhaskar Raj Pant Uttam Krishna Shrestha Biraj Bista |
| author_sort | Nagmani Singh |
| collection | DOAJ |
| description | Background. K-wires are thought to be extremely safe implants and complications as a result of direct insertion or migration are very rare. Complications may be life-threatening in some instances where migration results in injury to vital organs. We report one such case where antegrade migration of K-wire from the hip resulted in injury to external iliac artery and formation of external iliac artery-appendicular fistula. No such complication due to migration has ever been reported in the literature. Case Description. A 15-year-old boy presented with lower abdominal pain, right lower limb swelling and pain, inability to walk, and rectal bleeding for 1 month after 2 K-wires had been inserted in his right hip joint for treatment of slipped capital femoral epiphysis the previous year. On investigation, he was diagnosed to have external iliac artery-appendicular fistula for which he was surgically treated. Clinical Relevance. Antegrade migration of K-wire from hip joint may lead to life-threatening injuries which can be minimized by bending the end of the K-wire, keeping the tip protruding outside the skin wherever possible and by early removal of K-wire once its purpose has been achieved. |
| format | Article |
| id | doaj-art-5adf07ba8e9340e8954d4fba10be509a |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-5adf07ba8e9340e8954d4fba10be509a2025-08-20T03:34:13ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/207078207078External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported ComplicationNagmani Singh0Chakra Raj Pandey1Bhaskar Raj Pant2Uttam Krishna Shrestha3Biraj Bista4Department of Orthopedic Surgery, Grande International Hospital, Kathmandu 44600, NepalDepartment of Orthopedic Surgery, Grande International Hospital, Kathmandu 44600, NepalDepartment of Orthopedic Surgery, Grande International Hospital, Kathmandu 44600, NepalDepartment of Vascular Surgery, Grande International Hospital, Kathmandu 44600, NepalDepartment of Radiology, Grande International Hospital, Kathmandu 44600, NepalBackground. K-wires are thought to be extremely safe implants and complications as a result of direct insertion or migration are very rare. Complications may be life-threatening in some instances where migration results in injury to vital organs. We report one such case where antegrade migration of K-wire from the hip resulted in injury to external iliac artery and formation of external iliac artery-appendicular fistula. No such complication due to migration has ever been reported in the literature. Case Description. A 15-year-old boy presented with lower abdominal pain, right lower limb swelling and pain, inability to walk, and rectal bleeding for 1 month after 2 K-wires had been inserted in his right hip joint for treatment of slipped capital femoral epiphysis the previous year. On investigation, he was diagnosed to have external iliac artery-appendicular fistula for which he was surgically treated. Clinical Relevance. Antegrade migration of K-wire from hip joint may lead to life-threatening injuries which can be minimized by bending the end of the K-wire, keeping the tip protruding outside the skin wherever possible and by early removal of K-wire once its purpose has been achieved.http://dx.doi.org/10.1155/2015/207078 |
| spellingShingle | Nagmani Singh Chakra Raj Pandey Bhaskar Raj Pant Uttam Krishna Shrestha Biraj Bista External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported Complication Case Reports in Orthopedics |
| title | External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported Complication |
| title_full | External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported Complication |
| title_fullStr | External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported Complication |
| title_full_unstemmed | External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported Complication |
| title_short | External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported Complication |
| title_sort | external iliac artery appendicular fistula due to antegrade unusual migration of k wire from hip to pelvis an unreported complication |
| url | http://dx.doi.org/10.1155/2015/207078 |
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