Work

Intrapelvic migration of Kirschner wires causing bladder perforation without peritonitis: A case report

Year: 2026

Type: article

Abstract: Kirschner wire (K-wire) migration is a rare but potentially serious complication of orthopedic fixation. We report a 49-year-old man presenting with chronic lower abdominal pain two years after femoral neck fracture fixation. Computed tomography revealed multiple migrated K-wires within the pelvis, including one perforating the urinary bladder. Exploratory laparotomy confirmed both intra- and extraperitoneal bladder perforations without peritonitis or urine leakage. All wires were successfully removed, and the bladder perforations were repaired with suprapubic cystectomy. The patient recovered uneventfully. This case highlights the importance of long-term follow-up and timely removal of K-wires to prevent serious complications.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103428

Authors: Nguyen Thu Ha, Quach Van Kien, Hoang Minh Thang, Chu Minh Phuc

Institutions: Viet Duc Hospital, Hanoi Medical University, Hanoi Medical University Hospital

Language: English

Topic: Bone fractures and treatments

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160