A hard object in the right iliac fossa

Fitchett, J; Williams, G L; McKain, E. S.; Stephenson, B. M.

doi:10.1308/147870808x257247

Cited by 11 publications

(12 citation statements)

References 3 publications

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“…The rod had migrated through the iliac wing into the pelvis and caused internal iliac artery laceration. In another case reported by Fitchett et al 5) a patient, admitted with acute abdominal pain, was detected to have a painful mass in the right iliac fossa. Harrington rod piece was taken out through an abdominal incision.…”

Section: Discussionmentioning

confidence: 92%

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Migration of Rod into Retroperitoneal Region: A Case Report and Review of the Literature

Bayri

Ekşi²,

Doğrul

et al. 2014

Korean J Spine

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Spinal stabilization with fusion is the widely used method for traumatic or pathologic fracture of spine, spinal stenosis, and spondylolisthesis. Complications may emerge during or after the operations. Infection, hematoma and neurological deficits are early noticed findings. Screw and/or rod fractures present in long-term after surgery. Rod migration in out of the spinal column is a rare entity. A 67-year-old woman was visited our clinic for right leg pain. She had a previous spinal instrumentation surgery for spondylolisthesis in another center 6 years before. After radiological work-up, a distally migrated rod piece was observed in the retroperitoneal portion. The patient was operated for degenerative change; old instruments were replaced and extended to the L2 level with posterior spinal fusion. After the operation, her right leg pain improved. The asymptomatic migrated rod piece has regularly been followed clinically and radiologically, since then. Although it has rarely been reported, migration of the instrumentation material should be kept in mind. Spinal fixation without fusion makes the mechanical system vulnerable to motion effects of spine, especially in a degenerative and osteoporotic background. Long-term, even life-long follow-up is necessary for late term complications.

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Section: Discussionmentioning

confidence: 92%

“…We are describing a case of migrated rod to the retroperitoneal area proven with radiological imaging modalities. In the literature, a few cases of distal migration of rod have been reported ( Table 1 ) 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 11 , 12) .…”

Section: Introductionmentioning

confidence: 99%

Migration of Rod into Retroperitoneal Region: A Case Report and Review of the Literature

Bayri

Ekşi²,

Doğrul

et al. 2014

Korean J Spine

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“…2,3 The well-known reported causes for RIF mass are appendix and psoas abscess, GI malignancy / cecal carcinoma, tubo-ovarian malignancy / abscess, crohn's disease, ectopic (pelvic) kidney / transplanted kidney, ileocaecal tuberculosis and enlarged lymph nodes, appendix mass, retroperitoneal tumors or massive distension of gall bladder, ruptured epigastric artery and external or common iliac artery aneurysm, appendicular mucocele, non-Hodgkin lymphoma, undescended testis malignancy and chondroma ilium. 3 The detail understanding about the anatomy, physiology and pathological processes that may occur within the abdomen are important for an exact diagnosis and management plan.…”

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confidence: 99%

Right Iliac Fossa Mass; Clinical Spectrum

Hussain

Shah

Bhatti

et al. 2016

TPMJ

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ORIGINAL PROF-3362 ABSTRACT… Objectives: To determine the frequency and clinical pattern of mass in right iliac fossa. Study Design: Cross sectional multicenter study. Period: One year (from 03 March 2014 to 02 March 2015). Setting: Patients with right iliac fossa mass of >11 years of and of either gender admitted in department of surgery at Liaquat university hospital Hyderabad / Jamshoro and Peoples University Hospital Nawabshah. Patients and methods: The data was analyzed in SPSS 16 and the frequency and percentage was calculated. Results: During one year study period, out of 227 patients, 112 subjects were observed to have right iliac fossa mass due to different etiologies, of which 82(73.2%) were males and 30 (26.8%) were females. The mean age ±SD for overall population was 39.32±8.66 while it was 37.88±6.75 and 38.93±7.72 in male and female population respectively. The male population was predominant while the patterns observed were appendicular mass in 19(17%), appendicular abscess in 26(23.21%), ileocaecal tuberculosis in 38(34%), carcinoma caecum in 14(12.5%), psoas abscess in 5(4.46%) and others in 10(9%) respectively. Conclusion: The highest incidence of mass in the right iliac fossa was seen in second, third and four decades with male population predominance. The common disorders identified were ileocaecal tuberculosis, appendicular mass and abscess and carcinoma caecum respectively Key words:Right iliac fossa mass, appendicular mass, appendicular abscess, ileocaecal tuberculosis, tuberculosis, carcinoma caecum and psoas abscess. NTRODUCTIONThe mass in the abdomen has wide spread implications and since long exercised the minds of many researchers and health care providers.

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“…Instrumentation failure could be explained because of motion in the setting of nonunion in fusion attempts [ 3 , 4 , 8 ]. Migration through retroperitoneal lumbar segment to the pelvis and thigh following an iliopsoas pathway close to iliac and femoral vessels has been reported previously [ 4 , 9 ].…”

Section: Discussionmentioning

confidence: 84%

“…Early stages of rod migrations are usually asymptomatic [ 4 , 9 ], the systematic follow-up with clinical and radiological examination is then important to prevent or minimize such complication [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Migration of the Anterior Spinal Rod to the Right Thigh, a Rare Complication of Anterior Spinal Instrumentations: A Case Report and a Literature Review

Camino-Willhuber

Taype

Guido

et al. 2015

Case Reports in Orthopedics

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Posterior and anterior fusion procedures with instrumentation are well-known surgical treatments for scoliosis. Rod migration has been described as unusual complication in anterior spinal instrumentations; migration beyond pelvis is a rare complication. A 32-year-old female presented to the consultant with right thigh pain, rod migration was diagnosed, rod extraction by minimal approach was performed, and spinal instrumentation after nonunion diagnosis was underwent. A rod migration case to the right thigh is presented; this uncommon complication of spinal instrumentation should be ruled out as unusual cause of sudden pain without any other suspicions, and long-term follow-up is important to prevent and diagnose this problem.

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A hard object in the right iliac fossa

Abstract: An unusual case of a Harrington rod migrating out of the abdominal cavity.

Cited by 11 publications

References 3 publications

Migration of Rod into Retroperitoneal Region: A Case Report and Review of the Literature

Migration of Rod into Retroperitoneal Region: A Case Report and Review of the Literature

Right Iliac Fossa Mass; Clinical Spectrum

Migration of the Anterior Spinal Rod to the Right Thigh, a Rare Complication of Anterior Spinal Instrumentations: A Case Report and a Literature Review

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