title: A mysterious journey of a cardiac pacemaker.
abstract: A permanent bipolar cardiac pacemaker was inserted in the abdomen of a child with Down's syndrome, due to complete heart block following repair of atrioventricular septal defect. This report describes an unusual and unreported complication of the pacemaker getting extruded through the rectum without dysfunction. Implications for early diagnosis and appropriate management and steps to prevent such episodes in future are discussed.
authors.forename: Prakash
authors.initials: P
authors.lastname: Manikoth
authors.forename: Hamed T
authors.initials: HT
authors.lastname: Qora
authors.forename: Mohammed J
authors.initials: MJ
authors.lastname: Sajwani
authors.forename: John
authors.initials: J
authors.lastname: Valliattu
authors.forename: Nikunj
authors.initials: N
authors.lastname: Pawar
authors.forename: M
authors.initials: M
authors.lastname: Venkatraman
mesh_terms: D002675:Child, Preschool; D004314:Down Syndrome / Q000150:complications; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology / Q000601:surgery; D006327:Heart Block / Q000628:therapy; D006344:Heart Septal Defects, Atrial / Q000628:therapy; D006345:Heart Septal Defects, Ventricular / Q000628:therapy; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D012086:Reoperation; D013908:Thoracotomy