The migration of a foreign body into a great vein is a rare occurrence that requires urgent surgical intervention. In our patient one fragment of a circular acetabular socket wire marker had entered the femoral vein. Exact topographic location of the wire was achieved by computerized tomography. Urgent surgery revealed a floating wire within the venous lumen with associated thrombosis.
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References
1.
Morton JR, Peul GS, Arbegast NR, et al: Bullet embolus to the right ventricle. Am J Surg122:584-590, 1971.
2.
Burmann M., Grossman S., Rosenak S.: The migration of a fracture-transfixing pin from the humerus into the mediastinum . Am J Roentgenol76:1061-1065, 1956 .
3.
Massumi RA, Ross AM: Atraumatic non-surgical technique for the removal of broken catheters from cardiac cavities. N Engl J Med277:195-196, 1967.
4.
Potter FA, Fiorin AJ, Knox J., et al: The migration of a Kirschner wire from shoulder to spleen: Brief report. J Bone Joint Surg70-B:326-327, 1988.
5.
Tristan TA, Daughtridge TG: Migration of a metallic pin from the humerus into the lung. N Engl J Med270:987-989, 1964.
6.
Kremens V., Glanser F.: Unusual sequelae following pinning of medial clavicular fracture. Am J Roentgenol76: 1066- 1069, 1956.
7.
Mazet RJ Jr: Migration of a Kirschner wire from the shoulder region into the lung: Report of two cases. J Bone Joint Surg25:477-483, 1943.
8.
Aalders GJ, van Vroonhoven Tjmv, van der Werken C.: An exceptional case of pneumothorax—'a new adventure of the K wire.' Injury16:564-565, 1985.
9.
Norrell H. Jr, Llewellyn RC: Migration of a threaded Steinmann pin from an acromioclavicular joint into the spinal canal A case report. J Bone Joint Surg47-A: 1024-1026, 1965 .
10.
Harken DE, Williams AC: Foreign bodies in and in relation to the thoracic blood vessels and heart . Surg Gynecol Obstet83:117-125, 1946.
11.
Bernini CD, Junqueira AR, Horita LT, et al: Pulmonary embolism from gunshot missiles. Surg Gynecol Obstet156:615-619, 1983.
12.
Plate G., Einarrson E., Ohlin P., et al: Thrombectomy with temporary aarteriovenous fistula: The treatment of choice in acute iliofemoral venous thrombosis. J Vasc Surg1:867-876, 1984.
