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A case report: Perforation of the small intestine and sigmoid colon due to Kirschner wire migration

Dung Ngoc Tran 1, 2
Tung Thien Pham 1, 2, * ORCID logo
Dung Quang Luu 1, 2
Hoang Xuan Tuan Anh 1, 2
Phan Duc Nguyen 1, 2
Quan Anh Nguyen 1, 2
Ha Ngoc Hoang 1, 2
  1. Hanoi Medical University, Hanoi, Viet Nam
  2. Hanoi Medical University Hospital, Hanoi, Viet Nam
Correspondence to: Tung Thien Pham, Hanoi Medical University, Hanoi, Viet Nam; Hanoi Medical University Hospital, Hanoi, Viet Nam. ORCID: https://orcid.org/0009-0000-2246-8016. Email: [email protected].
Volume & Issue: Vol. 12 No. 1 (2025) | Page No.: 7024-7028 | DOI: 10.15419/bmrat.v12i1.948
Published: 2025-01-31

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This article is published with open access by BioMedPress. This article is distributed under the terms of the Creative Commons Attribution License (CC-BY 4.0) which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. 

Abstract

Introduction: Kirschner wires (K-wires) are extensively utilized in orthopedic and trauma procedures. Several risks associated with K-wires have been documented, including a rare case of intestinal perforation caused by wire migration into the pelvis.

Case Report: In this report, we present the case of an 84-year-old woman with a history of left femoral neck fracture fixation surgery using a K-wire. She was hospitalized in the emergency room due to persistent dull pain in the left iliac fossa for 7 days. A contrast-enhanced computed tomography scan revealed an abscess in the left iliac fossa and a K-wire located in the abdominal cavity adjacent to the abscess. An emergency laparotomy was performed, and three perforations were identified. The surgery involved removal of the K-wire, closure of the small bowel perforation, and exteriorizing a segment of the damaged sigmoid colon to form a stoma. With timely diagnosis and treatment, the patient experienced significant recovery within 13 days postoperatively.

Conclusion: Perforation of the small intestine and sigmoid colon due to Kirschner wire migration is a rare complication. However, it should be considered in patients with a history of orthopedic surgery involving K-wires.

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