Tamura Jiro, Maruwaka Shuichi, Shiroma Joji, Miyagi Sunao, Orita Hitoshi, Sakugawa Hiroshi, Hokama Akira, Kinjo Fukunori, Fujita Jiro
Department of Infectious, Respiratory, and Digestive Medicine, University of the Ryukyus, Japan.
Intern Med. 2014;53(7):699-701. doi: 10.2169/internalmedicine.53.1407. Epub 2012 Mar 1.
The migration of Kirschner wires (K-wires) is a rare complication. We herein present a case of an inflammatory polyp in the colon caused by the migration of a K-wire following fixation of a pelvic fracture. Surgery was carried out to remove the K-wire through an incision at the level of the left iliac bone. Simultaneous endoscopic clipping of the colonic wound was also performed. The patient's postoperative course was uneventful. Although very rare, migration of devices should be considered in patients with a previous history of orthopedic surgery.
克氏针移位是一种罕见的并发症。我们在此报告一例骨盆骨折固定术后克氏针移位导致结肠炎性息肉的病例。通过左髂骨水平的切口进行手术取出克氏针。同时也对结肠伤口进行了内镜下钳夹处理。患者术后恢复顺利。尽管非常罕见,但对于有骨科手术史的患者,应考虑器械移位的情况。