title: Forgotten Kirschner wire causing severe hematuria.
abstract: Kirschner wire (K-wire) is commonly used in the treatment of hip fracture and its migration into pelvis leading to bladder injury is a very rare complication. Nonremoval of these devices either because of lack of followup or because of prolonged requirement due to disease process is associated with this complication. We report a case of a patient who presented with acute onset severe hematuria with clot retention secondary to perforation of bladder by a migrated K-wire placed earlier, for the treatment of hip fracture. Initial imaging showed its presence in the soft tissues of the pelvis away from the major vascular structures. Patient was taken for emergency laparotomy and wire was removed after cystotomy. Postoperative period was uneventful and patient was discharged in satisfactory condition. K-wires are commonly used in the management of fracture bones and their migration has been reported in the literature although such migration in the intrapelvic region involving bladder is very rare. Early diagnosis and prompt removal of such foreign bodies are required to avert potentially fatal involvement of major structures.
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Santosh
authors.identifier: 0000-0002-6195-1913
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Shrawan Kumar
authors.initials: SK
authors.lastname: Singh
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Kumar
authors.initials: K
authors.lastname: Jayant
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Swati
authors.initials: S
authors.lastname: Agrawal
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Kalpesh Mahesh
authors.initials: KM
authors.lastname: Parmar
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Sriharsha
authors.initials: S
authors.lastname: Ajjoor Shankargowda