Veres Lukács, Kiss Regina, Boros Miklós, Enyedi Attila, Takács István, Kollár Sándor, Damjanovich László, Sz Kiss Sándor
Debreceni Egyetem, Orvos- és Egészségtudományi Centrum Sebészeti Intézet, Mellkassebészeti Központ, Debrecen.
Magy Seb. 2009 Dec;62(6):353-6. doi: 10.1556/MaSeb.62.2009.6.7.
Orthopedic surgeons apply metallic pins to stabilize the clavicule and humerus on a daily basis. Migration of these pins into the thoracic cavity is rare. We present the case of an elderly female patient, whose right humeroscapular joint was fixed with Kirschner wires due to recurrent luxation. Six weeks later, a follow-up X-ray revealed that the pins have migrated into the right thoracic cavity, confirmed by a CT chest. Videothoracoscopic removal of the metallic pins was not possible because of dense adhesions. Right anterolateral thoracotomy was carried out, and after pneumolysis one pin was taken out from the 2nd lung segment. The other one, which was running along the cupola and entering the spinal cord, was also removed. There was no postoperative surgical complication. The authors review the literature of this rare complication and point out that pins migrating into the thoracic cavity should be removed to avoid life threatening complications.
骨科医生每天都会使用金属针来固定锁骨和肱骨。这些针迁移到胸腔的情况很少见。我们报告一例老年女性患者，其右肩肱关节因反复脱位而用克氏针固定。六周后，随访X线显示针已迁移至右胸腔，胸部CT证实了这一点。由于粘连严重，无法通过电视胸腔镜取出金属针。遂进行右前外侧开胸手术，松解粘连后，从第2肺段取出一根针。另一根沿着圆顶走行并进入脊髓的针也被取出。术后无手术并发症。作者回顾了关于这种罕见并发症的文献，并指出应取出迁移到胸腔的针，以避免危及生命的并发症。
