RESUMO
CONTEXT: Fractures of the clavicle are one of the most common injuries to the bone in childhood, but posttraumatic nonunion of pediatric clavicle fractures are extremely rare, with only isolated reports in literature. CASE REPORT: We report a case of a posttraumatic painful nonunion of a clavicle fracture in a 13-year-old boy that caused symptomatic compression of the external jugular vein (EJV) and the formation of an arteriovenous fistula. The fracture was treated successfully with open reduction and internal fixation with a contoured recon plate 6 months following the injury. The fistula was treated by ligation and closure. CONCLUSION: The patient made a full recovery 6 months following surgery and was asymptomatic with full range of shoulder movement. Fracture union was confirmed by computed tomography (CT) scanning and no residual fistula was found.
RESUMO
Symptomatic caval perforation is a rare complication of inferior vena cava filter placement, and there is little evidence on which to base clinical practice in such circumstances. We report a case of caval wall perforation 5 years after insertion of a retrievable Günther Tulip filter (William Cook Europe, Bjaeverskov, Denmark) and describe the operative procedure involved in its removal. To our knowledge this is the first reported case of symptomatic caval perforation caused by a Günther Tulip filter.
