Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case report
Abstract Background Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management. Case presentation We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral hea...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Japan Surgical Society
2024-03-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-023-01803-8 |
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| Summary: | Abstract Background Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management. Case presentation We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral head fracture. Three months after the operation, pleural and pericardial effusions with cardiac tamponade were observed, leading to the diagnosis of wire migration within the pericardium. A minimally invasive approach guided by fluoroscopy allowed emergency wire extraction without needing a median sternotomy. The postoperative clinical course was uncomplicated. Conclusions The use of pre- and per-operative multimodal imaging allowed for the safe extraction of an intra-pericardial Kirschner wire through a minimally invasive approach. |
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| ISSN: | 2198-7793 |