Unusual migration of fractured ERCP guidewire: A case report
Abstract Endoscopic retrograde cholangiopancreatography (ERCP) routinely uses hydrophilic guidewires to cannulate ducts and traverse stenoses. Fracture of these guidewires have been reported, however, migration of these fractured fragments is an extremely rare occurrence that has yet to be reported...
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| Veröffentlicht in: | Clinical imaging 2017-05, Vol.43, p.93-96 |
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| container_title | Clinical imaging |
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| creator | Pomeranz, Christy B Wehrli, Natasha E Tyberg, Amy Belfi, Lily M |
| description | Abstract Endoscopic retrograde cholangiopancreatography (ERCP) routinely uses hydrophilic guidewires to cannulate ducts and traverse stenoses. Fracture of these guidewires have been reported, however, migration of these fractured fragments is an extremely rare occurrence that has yet to be reported in the literature. We present a case of a fractured ERCP guidewire with extensive migration in the retroperitoneal and lower extremity soft tissues and vasculature with radiologic correlation across multiple modalities—MRI, CT, and radiographs—as well as pathologic correlation. This case illustrates a rare but serious complication of ERCP and demonstrates the imaging findings associated with it. |
| doi_str_mv | 10.1016/j.clinimag.2017.02.001 |
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Fracture of these guidewires have been reported, however, migration of these fractured fragments is an extremely rare occurrence that has yet to be reported in the literature. We present a case of a fractured ERCP guidewire with extensive migration in the retroperitoneal and lower extremity soft tissues and vasculature with radiologic correlation across multiple modalities—MRI, CT, and radiographs—as well as pathologic correlation. This case illustrates a rare but serious complication of ERCP and demonstrates the imaging findings associated with it.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2017.02.001</identifier><identifier>PMID: 28273653</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Bile ; Case reports ; Catheterization - adverse effects ; Catheterization - methods ; Cholangiopancreatography, Endoscopic Retrograde - adverse effects ; Cholangiopancreatography, Endoscopic Retrograde - methods ; Computed tomography ; Constriction, Pathologic - complications ; Endoscopy ; Endoscopy - adverse effects ; Endoscopy - methods ; Equipment Failure ; ERCP complication ; Foreign body on MRI ; Foreign-Body Migration - diagnostic imaging ; Foreign-Body Migration - etiology ; Foreign-Body Migration - pathology ; Fractures ; Fragments ; Guidewire fracture ; Guidewire migration ; Humans ; Hydrophobic and Hydrophilic Interactions ; Lithotripsy ; Lower Extremity ; Magnetic resonance imaging ; Male ; Middle Aged ; Migration ; Pain ; Radiographs ; Radiography ; Radiology ; Retained guidewire ; Retroperitoneal foreign body ; Retroperitoneal Space ; Soft tissues ; Tissues ; Veins & arteries</subject><ispartof>Clinical imaging, 2017-05, Vol.43, p.93-96</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-131bc83745f4b881b3a5f14496c0169dc51838d6e9402f58c4b0ad4c36cd5e7e3</citedby><cites>FETCH-LOGICAL-c451t-131bc83745f4b881b3a5f14496c0169dc51838d6e9402f58c4b0ad4c36cd5e7e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.clinimag.2017.02.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28273653$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pomeranz, Christy B</creatorcontrib><creatorcontrib>Wehrli, Natasha E</creatorcontrib><creatorcontrib>Tyberg, Amy</creatorcontrib><creatorcontrib>Belfi, Lily M</creatorcontrib><title>Unusual migration of fractured ERCP guidewire: A case report</title><title>Clinical imaging</title><addtitle>Clin Imaging</addtitle><description>Abstract Endoscopic retrograde cholangiopancreatography (ERCP) routinely uses hydrophilic guidewires to cannulate ducts and traverse stenoses. Fracture of these guidewires have been reported, however, migration of these fractured fragments is an extremely rare occurrence that has yet to be reported in the literature. We present a case of a fractured ERCP guidewire with extensive migration in the retroperitoneal and lower extremity soft tissues and vasculature with radiologic correlation across multiple modalities—MRI, CT, and radiographs—as well as pathologic correlation. This case illustrates a rare but serious complication of ERCP and demonstrates the imaging findings associated with it.</description><subject>Bile</subject><subject>Case reports</subject><subject>Catheterization - adverse effects</subject><subject>Catheterization - methods</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - methods</subject><subject>Computed tomography</subject><subject>Constriction, Pathologic - complications</subject><subject>Endoscopy</subject><subject>Endoscopy - adverse effects</subject><subject>Endoscopy - methods</subject><subject>Equipment Failure</subject><subject>ERCP complication</subject><subject>Foreign body on MRI</subject><subject>Foreign-Body Migration - diagnostic imaging</subject><subject>Foreign-Body Migration - etiology</subject><subject>Foreign-Body Migration - pathology</subject><subject>Fractures</subject><subject>Fragments</subject><subject>Guidewire fracture</subject><subject>Guidewire migration</subject><subject>Humans</subject><subject>Hydrophobic and Hydrophilic Interactions</subject><subject>Lithotripsy</subject><subject>Lower Extremity</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Migration</subject><subject>Pain</subject><subject>Radiographs</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Retained guidewire</subject><subject>Retroperitoneal foreign body</subject><subject>Retroperitoneal Space</subject><subject>Soft tissues</subject><subject>Tissues</subject><subject>Veins & arteries</subject><issn>0899-7071</issn><issn>1873-4499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1r2zAUhkVZabOsf6EYerMbe5IlS3IpoyFkHxBo6ZprIUvHQaljZ5Ld0X8_uWk2yE2vdPOcV-95DkKXBGcEE_5lk5nGtW6r11mOichwnmFMTtCESEFTxsryA5pgWZapwIKco48hbCLASybO0Hkuc0F5QSfoZtUOYdBNsnVrr3vXtUlXJ7XXph882GTxML9P1oOz8Md5uE5midEBEg-7zvef0GmtmwAXb-8Urb4tHuc_0uXd95_z2TI1rCB9SiipjKSCFTWrpCQV1UVNYkduxkbWFERSaTmUDOd1IQ2rsLbMUG5sAQLoFH3e5-5893uA0KutCwaaRrfQDUERWdKSU0x5RK-O0E03-Da2G6lcSMbi6lPE95TxXQgearXz0aV_UQSr0a_aqINfNfpVOFdRXxy8fIsfqi3Yf2MHoRG43QMQfTw78CoYB60BG_WZXtnOvf_H16OIV8zo5gleIPzfR4U4oH6NVx6PTATFOOeS_gUPdqGT</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Pomeranz, Christy B</creator><creator>Wehrli, Natasha E</creator><creator>Tyberg, Amy</creator><creator>Belfi, Lily M</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20170501</creationdate><title>Unusual migration of fractured ERCP guidewire: A case report</title><author>Pomeranz, Christy B ; Wehrli, Natasha E ; Tyberg, Amy ; Belfi, Lily M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-131bc83745f4b881b3a5f14496c0169dc51838d6e9402f58c4b0ad4c36cd5e7e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Bile</topic><topic>Case reports</topic><topic>Catheterization - adverse effects</topic><topic>Catheterization - methods</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - methods</topic><topic>Computed tomography</topic><topic>Constriction, Pathologic - complications</topic><topic>Endoscopy</topic><topic>Endoscopy - adverse effects</topic><topic>Endoscopy - methods</topic><topic>Equipment Failure</topic><topic>ERCP complication</topic><topic>Foreign body on MRI</topic><topic>Foreign-Body Migration - diagnostic imaging</topic><topic>Foreign-Body Migration - etiology</topic><topic>Foreign-Body Migration - pathology</topic><topic>Fractures</topic><topic>Fragments</topic><topic>Guidewire fracture</topic><topic>Guidewire migration</topic><topic>Humans</topic><topic>Hydrophobic and Hydrophilic Interactions</topic><topic>Lithotripsy</topic><topic>Lower Extremity</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Migration</topic><topic>Pain</topic><topic>Radiographs</topic><topic>Radiography</topic><topic>Radiology</topic><topic>Retained guidewire</topic><topic>Retroperitoneal foreign body</topic><topic>Retroperitoneal Space</topic><topic>Soft tissues</topic><topic>Tissues</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pomeranz, Christy B</creatorcontrib><creatorcontrib>Wehrli, Natasha E</creatorcontrib><creatorcontrib>Tyberg, Amy</creatorcontrib><creatorcontrib>Belfi, Lily M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pomeranz, Christy B</au><au>Wehrli, Natasha E</au><au>Tyberg, Amy</au><au>Belfi, Lily M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unusual migration of fractured ERCP guidewire: A case report</atitle><jtitle>Clinical imaging</jtitle><addtitle>Clin Imaging</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>43</volume><spage>93</spage><epage>96</epage><pages>93-96</pages><issn>0899-7071</issn><eissn>1873-4499</eissn><abstract>Abstract Endoscopic retrograde cholangiopancreatography (ERCP) routinely uses hydrophilic guidewires to cannulate ducts and traverse stenoses. Fracture of these guidewires have been reported, however, migration of these fractured fragments is an extremely rare occurrence that has yet to be reported in the literature. We present a case of a fractured ERCP guidewire with extensive migration in the retroperitoneal and lower extremity soft tissues and vasculature with radiologic correlation across multiple modalities—MRI, CT, and radiographs—as well as pathologic correlation. This case illustrates a rare but serious complication of ERCP and demonstrates the imaging findings associated with it.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28273653</pmid><doi>10.1016/j.clinimag.2017.02.001</doi><tpages>4</tpages></addata></record> |
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| subjects | Bile Case reports Catheterization - adverse effects Catheterization - methods Cholangiopancreatography, Endoscopic Retrograde - adverse effects Cholangiopancreatography, Endoscopic Retrograde - methods Computed tomography Constriction, Pathologic - complications Endoscopy Endoscopy - adverse effects Endoscopy - methods Equipment Failure ERCP complication Foreign body on MRI Foreign-Body Migration - diagnostic imaging Foreign-Body Migration - etiology Foreign-Body Migration - pathology Fractures Fragments Guidewire fracture Guidewire migration Humans Hydrophobic and Hydrophilic Interactions Lithotripsy Lower Extremity Magnetic resonance imaging Male Middle Aged Migration Pain Radiographs Radiography Radiology Retained guidewire Retroperitoneal foreign body Retroperitoneal Space Soft tissues Tissues Veins & arteries |
| title | Unusual migration of fractured ERCP guidewire: A case report |
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