[Positional changes of metal implants].
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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.
On the basis of literature and the results of investigations performed in the Department of Experimental Surgery and Plastics Research of the Institute of Surgery, Medical Academy in Wroclaw (Poland), the author discusses early and late complications after intratissular injections of silicone fluids. The indications for their clinical use are limited.
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For therapy of bullet-wounds in peace profound knowledge of their pathogenesis is necessary. This may be especially true for wounds evoked by new developed weapons. It may be assumed that often therapists are not familiar with the effects of these modern weapons. This review of 27 international publications therefore represents particularities of wounds of the body cavities and the extremities. Furthermore the problem of bulletembolies is represented.
A case of spontaneous extrusion of intraocular foreign body after 11 years is presented. Despite being magnetic and containing mostly iron the foreign body could not be removed in repeated magnet trials. It was retained in the ciliary body region for a very long time without causing siderosis. The foreign body was spontaneously extruded without any signs of intraocular inflammation.
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