1.Tubular Foreign Body or Stent: Safe Retrieval or Repositioning Using the Coaxial Snare Technique.
Chang Kyu SEONG ; Yong Joo KIM ; Jin Wook CHUNG ; Seung Hyup KIM ; Hyun Beom KIM ; Jae Hyung PARK
Korean Journal of Radiology 2002;3(1):30-37
OBJECTIVE: To evaluate the utility and advantages of the coaxial snare technique in the retrieval of tubular foreign bodies. MATERIALS AND METHODS: Using the coaxial snare technique, we attempted to retrieve tubular foreign bodies present in seven patients. The bodies were either stents which were malpositioned or had migrated from their correct position in the vascular system (n=2), a fragmented venous introducer sheath (n=1), fragmented drainage catheters in the biliary tree (n=2), or fractured external drainage catheters in the urinary tract (n=2). After passing a guidewire and/or a dilator through the lumina of these foreign bodies, we introduced a loop snare over the guidewire or dilator, thus capturing and retrieving them. RESULTS: In all cases, it was possible to retrieve or reposition the various items, using a minimum-sized introducer sheath or a tract. No folding was involved. In no case were surgical procedures required, and no complications were encountered. CONCLUSION: The coaxial snare technique, an application of the loop snare technique, is a useful and safe method for the retrieval of tubular foreign bodies, and one which involves minimal injury to the patient.
Adult
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Case Report
;
Catheters, Indwelling
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Drainage/instrumentation
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Foreign Bodies/*radiography/*therapy
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Foreign-Body Migration
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Human
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Male
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Middle Age
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*Stents
2.Transmural Migration of Surgical Sponge Evacuated by Defecation: Mimicking an Intraperitoneal Gossypiboma.
Jae Woong CHOI ; Chang Hee LEE ; Kyeong Ah KIM ; Cheol Min PARK ; Jin Yong KIM
Korean Journal of Radiology 2006;7(3):212-214
The spontaneous defecation of the surpical retained sponge is very rare. Here, we report a case of migrating surgical sponge that was retained in the colon and it was evacuated by defecation.
Surgical Sponges/*adverse effects
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Peritoneal Diseases/*etiology/*radiography
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Humans
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Foreign-Body Migration/*etiology/*radiography
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Female
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Diagnosis, Differential
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*Defecography
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*Defecation
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Adult
3.Metallic Foreign Body in Heart Mimicking Moderator Band.
Darae KIM ; Pil Sung YANG ; Jung Ho CHOI ; Jiwon SEO ; Kyeong Hyeon CHUN ; Sang Eun LEE ; Geu Ru HONG ; Hyun Chel JOO ; Donghoon CHOI
Yonsei Medical Journal 2015;56(3):867-870
A foreign body in heart is rare, but it is more frequently encountered than the past as iatrogenic causes are increasing. Clinicians should be aware that foreign body could be mistaken for normal structure of heart. In order for accurate diagnosis, multi-imaging modalities should be used for information of exact location, mobility and hemodynamic effects. A decision to intervene should be made based on potential harms harbored by foreign bodies. Endovascular retrieval should be considered as an option. However, when fatal complications occur or when foreign bodies are embedded deeply, a surgical removal should be attempted.
Cardiac Surgical Procedures/*methods
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Echocardiography
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Female
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Foreign Bodies/*radiography/*surgery
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Foreign-Body Migration/radiography
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Heart Injuries/diagnosis/etiology/*surgery
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Humans
;
Iatrogenic Disease
;
Middle Aged
;
*Needles
;
Treatment Outcome
4.Metallic Foreign Body in Heart Mimicking Moderator Band.
Darae KIM ; Pil Sung YANG ; Jung Ho CHOI ; Jiwon SEO ; Kyeong Hyeon CHUN ; Sang Eun LEE ; Geu Ru HONG ; Hyun Chel JOO ; Donghoon CHOI
Yonsei Medical Journal 2015;56(3):867-870
A foreign body in heart is rare, but it is more frequently encountered than the past as iatrogenic causes are increasing. Clinicians should be aware that foreign body could be mistaken for normal structure of heart. In order for accurate diagnosis, multi-imaging modalities should be used for information of exact location, mobility and hemodynamic effects. A decision to intervene should be made based on potential harms harbored by foreign bodies. Endovascular retrieval should be considered as an option. However, when fatal complications occur or when foreign bodies are embedded deeply, a surgical removal should be attempted.
Cardiac Surgical Procedures/*methods
;
Echocardiography
;
Female
;
Foreign Bodies/*radiography/*surgery
;
Foreign-Body Migration/radiography
;
Heart Injuries/diagnosis/etiology/*surgery
;
Humans
;
Iatrogenic Disease
;
Middle Aged
;
*Needles
;
Treatment Outcome
5.Spontaneously Migrated Tip of an Implantable Port Catheter into the Axillary Vein in a Patient with Severe Cough and the Subsequent Intervention to Reposition It.
Kyung Sik AHN ; Kweon YOO ; In Ho CHA ; Tae Seok SEO
Korean Journal of Radiology 2008;9(Suppl):S81-S84
Migration of an implantable port catheter tip is one of the well-known complications of this procedure, but the etiology of this problem is not clear. We describe here a case of migration of the tip of a port catheter from the right atrium to the right axillary vein in a patient with severe cough. Coughing was suggested for this case as the cause of the catheter tip migration. We corrected the position of the catheter tip via transfemoral snaring.
Axillary Vein
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Catheters, Indwelling/*adverse effects
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Cough/*complications
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Device Removal/*methods
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Foreign-Body Migration/*etiology/radiography
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Heart Atria
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Humans
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Lung Neoplasms/drug therapy
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Male
;
Middle Aged
6.Successful management of an iatrogenically-ingested sharp foreign body.
Gavin C W KANG ; Preetha MADHUKUMAR
Annals of the Academy of Medicine, Singapore 2008;37(11):980-981
Adult
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Cecum
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diagnostic imaging
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injuries
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pathology
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Colonoscopy
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methods
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Foreign-Body Migration
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diagnostic imaging
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etiology
;
surgery
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Humans
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Iatrogenic Disease
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Male
;
Needles
;
Radiography, Abdominal
7.Delayed migration of K-wire into popliteal fossa used for tension band wiring of patellar fracture.
Sanjay MEENA ; Hira-Lal NAG ; Senthil KUMAR ; Nilesh BARWAR ; Samarth MITTAL ; Amit SINGLA
Chinese Journal of Traumatology 2013;16(3):186-188
Breakage of K-wires and stainless steel wires which are used for fracture fixation is not uncommon, but migration is rare. We report a case of migration of broken K-wire used for patella tension band wiring to the popliteal fossa. The broken hardware was removed surgically. We would like to suggest that K-wire and wire fixation used for treatment of patellar fractures can migrate into the posterior compartment of the knee and cause clinical symptoms. Close clinical and radiological follow-up after internal fixation to identify the presence of hardware breakage or movement and removal of wires once fracture has united can avert such complications.
Adult
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Bone Wires
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Equipment Failure
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Foreign-Body Migration
;
etiology
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Fracture Fixation, Internal
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instrumentation
;
methods
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Fractures, Bone
;
diagnostic imaging
;
surgery
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Humans
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Male
;
Patella
;
diagnostic imaging
;
injuries
;
Radiography
;
Time Factors
8.A Case of Common Bile Duct Stone Developed due to a Surgical Clip as a Nidus: An Experience of Successful Management by Endoscopy.
Hyae Ju OH ; Hyo Jin JUNG ; Jong In CHAI ; Weul Yong CHOI ; Kyoung Min KIM ; Jong Han KIM ; Yong Mok BAE ; Jeong Ho HEO
The Korean Journal of Gastroenterology 2003;42(4):351-353
Surgical clips can migrate into the biliary tract and act as a nidus for stone formation. We report a case of common bile duct stone developed due to a surgical clip in a 48-year-old man. Endoscopic retrograde cholangiogram revealed a common bile duct stone a with metallic clip in it. He had laparoscopic cholecystectomy 10 years ago. The stone was removed endoscopically. The use of resorbable clips during laparoscopic cholecystectomy is recommended to avoid this type of complication.
Cholangiopancreatography, Endoscopic Retrograde
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Cholecystectomy, Laparoscopic/adverse effects/*instrumentation
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Choledocholithiasis/*etiology/radiography/therapy
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*Foreign-Body Migration
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Humans
;
Male
;
Middle Aged
;
Surgical Instruments/*adverse effects
9.Pseudotumor of the Omentum Associated with Migration of the Ingested Crab-Leg.
Han Jin CHO ; Su Jin KIM ; Sung Woo LEE ; Sung Woo MOON ; Jong Hak PARK
Journal of Korean Medical Science 2012;27(5):569-571
Foreign body ingestion is not uncommon in clinical practice, and it may occasionally lead to penetration injuries. Emergency physicians and radiologists sometimes fail to obtain complete histories including ingestion and may overlook the possibility of foreign body-induced complications. Herein, we report a case of stomach antrum perforation due to foreign body migration. We were unaware of the patient's history of eating the Korean delicacy "Kanjang-gaejang," which is raw crab seasoned with soy sauce. Several imaging diagnostic modalities had suggested the possibility of a malignant mass in the gastrocolic ligament area. During the operation, a crab leg was discovered as the cause of an intra-abdominal abscess. The patient underwent an antrectomy, a vagotomay, and a transverse colon wedge resection. We present this unusual case of a pseudotumorous lesion caused by ingestion of Kanjang-gaejang.
Abscess/microbiology
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Endoscopy, Digestive System
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Foreign-Body Migration/*radiography/ultrasonography
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Humans
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Male
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Middle Aged
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Omentum/*radiography/ultrasonography
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Positron-Emission Tomography
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Pyloric Antrum/radiography
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Rupture
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Stomach/injuries
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Streptococcus/isolation & purification
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Tomography, X-Ray Computed
10.Migration of a sirolimus-eluting stent from the ostium of the left main coronary artery to the right deep femoral artery.
Ki Bum WON ; Byeong Keuk KIM ; Young Guk KO ; Myeong Ki HONG ; Yangsoo JANG ; Won Heum SHIM
The Korean Journal of Internal Medicine 2013;28(1):116-119
No abstract available.
Aged
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Cardiovascular Agents/*administration & dosage
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Drug-Eluting Stents/*adverse effects
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*Femoral Artery/radiography/ultrasonography
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Foreign-Body Migration/diagnosis/*etiology
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Humans
;
Male
;
Percutaneous Coronary Intervention/*adverse effects/instrumentation
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Prosthesis Design
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Sirolimus/*administration & dosage
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Ultrasonography, Interventional