Migration of Kirschner's wire into abdominal cavity and transrectal removal.
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In a field study consisting of about 7000 adult cattle 36 cases of corpora aliena (CAA) in the abomasum were found. After recording the clinical symptoms such as recurrent slight ruminal tympany and abdominal pain after eating, the metal specimens were found by a detector, with which the sound of the moving metal could be followed behind the xiphoid cartilage region. The diagnoses were confirmed by operation in 10 cases, when the specimens were found in the abomasum and removed. Four of these operations were performed directly near the linea alba and in six cases the specimens were removed by hand and magnet through the reticulo-abomasal opening after attempting the routine hard ware operation. In an additional 16 cases the foreign body could not be caught hold of and removed by a ruminal operation due to passage difficulties through the reticulo-abomasal opening. The results of the direct or indirect operations when the CAA was removed, were good. It is concluded that CAA can occur in some 5 per mille of the patient population and in some 50 per cent of these cases a traumatic reticulitis is also found. In most cases the clinical symptoms are vague. Only if the symptoms are painful and recurrent is the operation indicated.
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Gilded molybdenum-wire remains in the sclera and episclera without any reaction of the tissue. Adjacent eye muscles are not involved. In two cases the loops penetrated slowly the sclera and choroid but not the retina.
A 40-year-old woman presented with the typical signs and symptoms of a Spigelian hernia. Upon operation, an inflammatory conglomerate tumor in the lower omentum was found, containing a copper T. As there were no signs of perforation it is to be discussed whether the IUCD migrated through the right Fallopian tube or penetrated through the uterine wall without leaving a scar.
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In conducting 381 stimulations in 330 patients with brady- and tachysystolic disorders of cardiac rhythm of various etiology 122 complications were revealed. Dislocation of the electrode was noted in 71 cases (18.6%), perforation of the myocardium by the endocardial electrode in 9 (2.1%), ventricular fibrillation in 11 (2.3%), and sepsis in 5 (1.3%) of the cases. A special device may be used for the immediate detection of dislocation. Characteristic changes are noted on the intracardiac ECG in penetration of the electrode into the myocardium (precursor of perforation).
Foreign bodies may enter the body by various ways, yet migration in the body seldom occurs. A case is described where a Kirschner wire, which had been inserted in the shoulder joint, migrated through the pleural cavity and the diaphragm, apparently by force of gravity. It was subsequently easily removed by laparotomy.
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Our case report of survival from a cardiac gunshot wound with subsequent embolization to the right femoral artery has included plain films and arteriographic confirmation, a review of the mechanics of intracardiac bullet embolization, its incidence, survival rates, and management, and review of the literature.
The case of a young female patient is discussed. The authors removed out of the renal hollow system of this patient a needle. The foreign body passed perorally into the renal pelvis after perforation of the duodenum. There the thicker end of the needle was encrusted; a pyelonephrosis, then a septic condition developed. After removal of the needle the kidney operated on showed a good function.
Report of a case in which an unnoticed intra-uterine device was fortuitously found in the left hypochondrium. Reflexions on mecanisms of migration and required precautions.