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Forgotten Kirschner wire causing severe hematuria.

Santosh Kumar1, Shrawan Kumar Singh1, Kumar Jayant1

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Case Reports in Urology
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A migrated Kirschner wire (K-wire) from hip fracture treatment caused rare bladder perforation. Prompt surgical removal of the K-wire prevented further complications, highlighting the need for vigilant follow-up.

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Area of Science:

  • Orthopedic Surgery
  • Urology
  • Trauma Management

Background:

  • Kirschner wires (K-wires) are frequently employed in treating hip fractures.
  • Intrapelvic migration of K-wires is a rare but serious complication.
  • Delayed removal or lack of follow-up increases the risk of K-wire migration complications.

Purpose of the Study:

  • To report a rare case of bladder perforation caused by a migrated K-wire.
  • To emphasize the importance of early diagnosis and intervention for migrated orthopedic hardware.

Main Methods:

  • Case report of a patient presenting with hematuria and clot retention.
  • Diagnostic imaging to identify the migrated K-wire's location.
  • Emergency laparotomy and cystotomy for K-wire removal.

Main Results:

  • A migrated K-wire, initially placed for hip fracture, perforated the urinary bladder.
  • The K-wire was successfully removed via emergency laparotomy and cystotomy.
  • The patient experienced an uneventful postoperative recovery and was discharged in stable condition.

Conclusions:

  • Migration of K-wires into the intrapelvic region, causing bladder injury, is exceptionally rare.
  • Prompt diagnosis and surgical removal are crucial to prevent life-threatening complications from migrated K-wires.
  • Vigilant patient follow-up is essential after Kirschner wire placement for fracture treatment.