Cases reported "Foreign-Body Migration"

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11/1355. Migration of sterilisation clips: case report and review.

    A case is reported of a sterilisation clip which was discovered, three years after operation, to have migrated to the subcutaneous tissue. A review of current techniques of female sterilisation is given together with a discussion of other relevant accounts of clip migration. It is shown to be a rare event with no reported serious sequelae. There is no conclusive evidence to suggest that one type of clip is more likely to migrate than another. ( info)

12/1355. The intravascular migration of an epidural catheter.

    The intravascular migration of an endhole epidural catheter in a child is described. We suggest measures to reduce the risk of inadvertent intravenous administration of local anaesthetic and means of reducing the effects of this with particular relevance to paediatric practice. ( info)

13/1355. Heavy metal: beware.

    A 19-year-old Crouzon's syndrome patient with a history of multiple craniofacial procedures presented with severe bilateral temporal and frontal depressions and metal implants protruding through the scalp in multiple locations. Preoperative analysis revealed an extensive cranial defect that had been reconstructed with multiple large metallic mesh implants. The mesh required complete removal with an autograft cranial reconstruction. We present this case to urge that caution and forethought be exercised when contemplating the use of metallic alloplasts for major craniofacial reconstructions. ( info)

14/1355. Adjustable silicone gastric banding and band erosion: personal experience and hypotheses.

    BACKGROUND: Adjustable silicone gastric banding (ASGB) has been advocated as a minimally invasive procedure that is completely reversible for the surgical treatment of morbid obesity. Band erosion (BE) is one of the possible complications of ASGB. The authors report their experience with BE and discuss its possible causes. methods: Between February 1993 and February 1998, the authors performed 122 ASGB: 51 open and 71 laparoscopic procedures. RESULTS: Two cases of BE occurred (1.6%). CONCLUSION: Band erosion is a possible complication of ASGB that is often not diagnosed immediately. Prevention is essential and consists primarily in correct placement of the band. There appears to be only one solution to BE: removal of the band. Placement of a new band after removal is possible; the minimum interval is not known. ( info)

15/1355. Shear syndrome: the worst case scenario of crush syndrome.

    Shear syndrome is described as a complication of crush syndrome. In addition to compression of and injury to the electrode, complete transection occurs. In this case, the free end migrated to the pulmonary artery with the potential for further complications. ( info)

16/1355. Pulmonary embolization of a pacing electrode fragment complicating lead extraction.

    We present a case that demonstrates an unusual complication of electrode extraction, namely asymptomatic embolization of a pacing electrode fragment into the pulmonary vascular bed. ( info)

17/1355. A case of dislodged atrial screw-in lead with migration to the ventricle 1 year postoperatively.

    We report a rare case of a 53-year-old woman with a dislodged atrial screw-in lead that migrated to the ventricle 1 year after pacemaker implantation. While such an event is quite unusual, we should be aware of its possibility. ( info)

18/1355. Relapsing pneumonia due to a migrating intrathoracic foreign body in a World war II veteran shot 53 years ago.

    In the great majority of cases of long-standing intrathoracic foreign bodies, patients are asymptomatic. However, symptoms may occur years later from the migration of the foreign body. We report on a 70-year-old patient who developed relapsing pneumonia due to obstruction of a bronchial branch of the left apical group by a migrating infantry bullet impacting 53 years ago. This was not diagnosed until the second attack of pneumonia in 1998. The bullet remains were removed bronchoscopically and the pneumonia resolved completely without further complications. ( info)

19/1355. An unusual presentation of a foreign body in the urinary bladder: A migrant intrauterine device.

    A 35-year-old woman, who had had an intrauterine device inserted 7 years earlier, presented with dysuria, pollakiuria, suprapubic pain and urethral irritation. The intrauterine device was found in the bladder with stone formation and was removed by endoscopy. ( info)

20/1355. Migration of three endoclips following laparoscopic cholecystectomy.

    We present a well-documented case report on migration of the haemostatic clip, along with the two clips that had originally been applied on the cystic duct, into the bile duct forming the nidus of a stone after laparoscopic cholecystectomy--a unique occurrence heretofore unreported. The English language literature on the subject is reviewed. The most likely predisposing factor is improper or erratic application of clips resulting in bile leakage, either subclinical or overt. Secure and correct placement of clips could help to prevent this complication. ( info)
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