Journal of Clinical Case Reports

Transmigration of Guide Wire from The Lateral Vein of Heart to Pericardium: An Experience from a Conservative Approach with Three Years Follow-Up Visit

Abstract

Saroj Thapa, Lianpin WU, Kangting JI, Mandika Chetry and Liqin Mei

Background: Any foreign particle in human body need to be removed to protect from different complication. But in our case patient could not be managed surgically so close medical management was selected on a context of sterile foreign body without further side effects.

Case report: We present a case of iatrogenic transmigration of foreign body within the pericardium. Which was regularly followed for three years without complications and symptoms.

Conclusion: None operable and sterile foreign body in pericardium may remain symptomless and it can be managed conservatively on poor general condition patient with regular follow-up.

Background

Many clinicians might have encountered patient with foreign body intruding problems. Various foreign particles usually get into our body through different sort of accidents. However, during some surgery or other procedure unknowingly iatrogenic foreign body can also get into human body although the rate is least. Foreign bodies if get inside our body it may trigger the immune or inflammatory cells thereby causing inflammation and swelling, releasing symptoms. And if it is not removed may lead to further complications. Despite, depending on particle, size, location and patient general condition all foreign body may not be harmful to human. In this paper, we have presented a rare case of broken guide wire transmigration in the pericardium which remained without any signs during 3 years close follow up.

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