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How can osteosynthesis material used for fracture fixation undergo intrathoracic migration?-a systematic literature review.
J Thorac Dis
November 2024
Department of Thoracic Surgery, Robert Schuman Hospitals Luxembourg, Luxembourg, Luxembourg.
Background: Kirschner wires or pins were widely used for osteosynthesis in trauma surgery. Breakage of osteosynthesis material and intra-thoracic migration is a complication that has occasionally been described. We reviewed the literature to study the frequency and pathophysiology of such migrations.
View Article and Find Full Text PDFMitigating Aspiration Risk With Awake Intubation: A Case of Intrathoracic Stomach.
Cureus
November 2024
Anesthesiology, Unidade Local de Saúde de Coimbra, Coimbra, PRT.
Hiatal hernias are common in the elderly and in most cases asymptomatic and no intervention is needed. Hiatal hernias can range from asymptomatic to an intrathoracic stomach, a rare but potentially life-threatening condition, characterized by the migration of the stomach into the thoracic cavity. Its need for urgent intervention presents a major concern for the anesthesiologist because it is associated with a high risk of aspiration.
View Article and Find Full Text PDFK wire migration into spinal canal: an infrequent cause of neurological morbidity - a case report.
Ann Med Surg (Lond)
December 2024
National Academy of Medical Sciences, Kathmandu, Nepal.
Introduction: K wire is one of the most common implants used for fixation of acromioclavicular joint dislocation. The migration of K wire from the AC joint to the spinal canal is a rare occurrence. In this report, the authors present a case of a young adult who presented with weakness of the left upper limb secondary to migration of the K wire from the AC joint to the spinal canal.
View Article and Find Full Text PDFImplausible, not impossible: delayed supradiaphragmatic thoracic migration of a ventriculoperitoneal shunt in a 17-month-old.
Childs Nerv Syst
December 2024
Clinic of Neurosurgery, Cluj County Emergency Clinical Hospital, 400012, Cluj-Napoca, Romania.
Background: Intrathoracic migration of a ventriculoperitoneal shunt (VPS) is a phenomenally rare complication, with the supradiaphragmatic intercostal variant even more so. Whereas it can prove debilitating or even fatal via massive hydrothorax, the causative mechanism and proper management of this occurrence are undefined.
Case Presentation: A 17-month-old girl who had undergone VPS insertion at one month of age was brought to our department for somnolence and dyspnea, which had a sudden onset.
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