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Common Carotid Artery-Trachea Fistula: Incidental Migration of Clavicle Fixation Kirschner Wire (K-Wire): A Rare Case
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A3165 - Common Carotid Artery-Trachea Fistula: Incidental Migration of Clavicle Fixation Kirschner Wire (K-Wire): A Rare Case
Author Block: S. Park1, S. Han1, C. Kim2, D. Jeong2, Y. Choe1, S. Kim1, S. Park1, Y. Lee1, H. Lee3; 1Internal Medicine, Chonbuk National University Hospital, Jeonjusi, Korea, Republic of, 2Nursing, Chonbuk National University Hospital, Jeonjusi, Korea, Republic of, 3Chonbuk Natl Univ Med School, Chonju Chonbuk 561-712, Korea, Republic of.
Hemoptysis has many causes. Migration and erosion of hardware into the chest have very rarely been associated with hemoptysis. Orthopedic metallic pins and wires are frequently used for the fixation of fractures and dislocations. Given the number of wires used in orthopedic surgery, iatrogenic injury due to orthopedic wire migration is a rare disease entity. And also, migration of shoulder pins to the adjacent space has been reported several times in the past. A 79-year-old man visited our emergency room because of abrupt hemoptysis. He was heavy smoker and his medical history had hypertension, gout, benign prostate hypertrophy, and previous pneumonia, and at 9 months before admission, the patient had a fracture of the right clavicle which was treated by the insertion of Kirschner wires for fixation. Chest roentgenograms, chest computed tomographic scans, and bronchoscopy revealed that previous Kirschner wires had migrated through Right common carotid artery and into the upper trachea. Immediate right deck incision was performed to remove the wire. the K-wire was seen covered with thin fibrous tissue and granulation. Fortunately, his postoperative course was relatively well. We report an unusual case of hemoptysis due to penetration of the common carotid artery and trachea by a migrating Kirschner wire.
Author Block: S. Park1, S. Han1, C. Kim2, D. Jeong2, Y. Choe1, S. Kim1, S. Park1, Y. Lee1, H. Lee3; 1Internal Medicine, Chonbuk National University Hospital, Jeonjusi, Korea, Republic of, 2Nursing, Chonbuk National University Hospital, Jeonjusi, Korea, Republic of, 3Chonbuk Natl Univ Med School, Chonju Chonbuk 561-712, Korea, Republic of.
Hemoptysis has many causes. Migration and erosion of hardware into the chest have very rarely been associated with hemoptysis. Orthopedic metallic pins and wires are frequently used for the fixation of fractures and dislocations. Given the number of wires used in orthopedic surgery, iatrogenic injury due to orthopedic wire migration is a rare disease entity. And also, migration of shoulder pins to the adjacent space has been reported several times in the past. A 79-year-old man visited our emergency room because of abrupt hemoptysis. He was heavy smoker and his medical history had hypertension, gout, benign prostate hypertrophy, and previous pneumonia, and at 9 months before admission, the patient had a fracture of the right clavicle which was treated by the insertion of Kirschner wires for fixation. Chest roentgenograms, chest computed tomographic scans, and bronchoscopy revealed that previous Kirschner wires had migrated through Right common carotid artery and into the upper trachea. Immediate right deck incision was performed to remove the wire. the K-wire was seen covered with thin fibrous tissue and granulation. Fortunately, his postoperative course was relatively well. We report an unusual case of hemoptysis due to penetration of the common carotid artery and trachea by a migrating Kirschner wire.
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