Najla Bachir1, Jean Lemaitre2, Ines Lardinois2. 1. Department of Digestive Surgery, CUB-Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. 2. Department of Vascular and Thoracic Surgery, St Pierre University Hospital, Brussels, Belgium.
Abstract
Background: Needle-guided localization wire is widely used to locate non-palpable breast lesion before surgery. A rare complication of this technique is wire migration. We report a case of an intrathoracic hooked wire migration in a 41-year-old female treated by video-assisted thoracoscopic surgery (VATS). Methods: We report a recent patient history and we review the cases reported in the literature. Results: Hook removal by thoracoscopy seemed to be the less invasive and most effective approach for this stable case. Even asymptomatic migration should be treated, and the device removed. The less invasive approach can be considered after estimating the risk and best possible timing. Conclusion: The loss of a hooked wire can lead to dramatic lesions. In every case, the device must be found or, if not, migration ruled out. The hooked wire must be removed, and the timing and the approach must be adapted to each case. VATS should be considered, in a stable patient to assess the lesions, to treat them and to remove the device.
Background: Needle-guided localization wire is widely used to locate non-palpable breast lesion before surgery. A rare complication of this technique is wire migration. We report a case of an intrathoracic hooked wire migration in a 41-year-old female treated by video-assisted thoracoscopic surgery (VATS). Methods: We report a recent patient history and we review the cases reported in the literature. Results: Hook removal by thoracoscopy seemed to be the less invasive and most effective approach for this stable case. Even asymptomatic migration should be treated, and the device removed. The less invasive approach can be considered after estimating the risk and best possible timing. Conclusion: The loss of a hooked wire can lead to dramatic lesions. In every case, the device must be found or, if not, migration ruled out. The hooked wire must be removed, and the timing and the approach must be adapted to each case. VATS should be considered, in a stable patient to assess the lesions, to treat them and to remove the device.
Entities:
Keywords:
Breast lesion; foreign body migration; hooked wire; migration; sonographic guided needle; video-assisted thoracoscopic surgery
Authors: Ulrich Bick; Rubina M Trimboli; Alexandra Athanasiou; Corinne Balleyguier; Pascal A T Baltzer; Maria Bernathova; Krisztina Borbély; Boris Brkljacic; Luca A Carbonaro; Paola Clauser; Enrico Cassano; Catherine Colin; Gul Esen; Andrew Evans; Eva M Fallenberg; Michael H Fuchsjaeger; Fiona J Gilbert; Thomas H Helbich; Sylvia H Heywang-Köbrunner; Michel Herranz; Karen Kinkel; Fleur Kilburn-Toppin; Christiane K Kuhl; Mihai Lesaru; Marc B I Lobbes; Ritse M Mann; Laura Martincich; Pietro Panizza; Federica Pediconi; Ruud M Pijnappel; Katja Pinker; Simone Schiaffino; Tamar Sella; Isabelle Thomassin-Naggara; Anne Tardivon; Chantal Van Ongeval; Matthew G Wallis; Sophia Zackrisson; Gabor Forrai; Julia Camps Herrero; Francesco Sardanelli Journal: Insights Imaging Date: 2020-02-05