ABSTRACT
The complications of percutaneous nephrolithotomy (PNL) include hemorrhage, damage to adjuvant organs, and other medical issues, although intracardiac migration of ureteral double-J stent has never been found during PNL and delaying the diagnosis might cause mortality. We report the case of a 60-year-old male who was admitted to receive one-stage PNL for right renal stones. During operation, an unexpected atrial fibrillation with a drop in blood pressure was suddenly encountered and the chest X-ray subsequently showed that the ureteral double-J had penetrated deep into the heart. Emergent endovascular intervention was performed to remove the stent and the patient was uneventfully discharged 2 days later.
Subject(s)
Kidney Calculi , Nephrolithotomy, Percutaneous , Nephrostomy, Percutaneous , Ureter , Humans , Kidney Calculi/diagnostic imaging , Kidney Calculi/surgery , Male , Middle Aged , Nephrolithotomy, Percutaneous/adverse effects , Stents/adverse effects , Ureter/diagnostic imaging , Ureter/surgeryABSTRACT
Introducción: Durante el seguimiento de los pacientes con derivación ventrículoperitoneal (DVP) para el tratamiento de la hidrocefalia se pueden presentar complicaciones habituales relacionadas a la derivación, tales como infecciones u obstrucción/ruptura del sistema derivativo. Sin embargo, raramente se pueden observar complicaciones más raras y graves que pueden afectan a órganos como el corazón y el pulmón. Pacientes y métodos: Presentamos 2 pacientes con raras complicaciones relacionadas a la DVP. El primero, un paciente de 10 años, que después de 7 años de la implantación de una DVP presentó episodios de neumonía recurrente secundaria a la migración intrapulmonar del catéter distal. El segundo caso, un paciente de 3 años, que 5 meses posteriores a la colocación de una DVP presentó síntomas de hipertensión endocraneana secundarios a migración intracardíaca del catéter distal. Conclusión: La migración intrapulmonar e intracardíaca del catéter distal son complicaciones extremadamente raras, pero que pueden producir morbilidad importante. Los pacientes con derivación ventrículoperitoneal deben ser controlados de forma rutinaria de por vida, con la finalidad de evitar comorbilidades asociadas a sus complicaciones.
Introduction: during the follow-up of patients with ventriculoperitoneal (VP) shunts for the treatment of hydrocephalus, common complications may occur, such as infections or obstruction/rupture of the shunt system. However, more rare and serious complications that affect organs such as the heart and lungs can be observed Patients and methods: we present 2 patients with rare complications related to VP shunts. The first, a 10-year-old patient, who 7 years after implantation of a VP shunt, presented episodes of recurrent pneumonia secondary to intrapulmonary migration of the distal catheter. The second case, a 3-year-old patient, who 5 months after the placement of a VP shunt, presented with symptoms of intracranial hypertension secondary to intracardiac migration of the distal catheter. Conclusion: intrapulmonary and intracardiac migration of the distal catheter are extremely rare complications, but they can cause significant morbidity. Patients with ventriculoperitoneal shunts should be routinely monitored for life by neurosurgeons, in order to avoid comorbidities associated with potential complications.
Subject(s)
Ventriculoperitoneal Shunt , Pediatrics , HydrocephalusABSTRACT
We report a case of a metal splinter ejected by a circular saw tooth from a wooden board into the left ventricle of the heart. A 35-year old man was admitted second day after accident attributed to work complaining about general weakness. Only a small non-bleeding wound was found near his sternum. CT scan showed a metal wire entrapped inside his heart. Successful removal was done during surgery.
Subject(s)
Foreign Bodies/diagnosis , Heart Injuries/diagnosis , Heart Ventricles/injuries , Wounds, Penetrating/diagnosis , Adult , Cardiac Surgical Procedures/methods , Echocardiography , Foreign Bodies/surgery , Heart Injuries/surgery , Heart Ventricles/diagnostic imaging , Heart Ventricles/surgery , Humans , Male , Tomography, X-Ray Computed , Wounds, Penetrating/surgeryABSTRACT
We report the case of a 50-year old man diagnosed with intracardiac migration of a Kirschner wire (K-wire). The patient had undergone surgical fixation of rib fracture 32 months previously. Chest roentgenograms, chest computed tomographic scans and echocardiography revealed that one of the K-wires had migrated to the right ventricle. The K-wire was removed immediately. To the best of our knowledge, this is the first reported instance of asymptomatic intracardiac migration of a K-wire from the right rib.