External iliac artery-appendicular fistula due to antegrade
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K-wires are thought to be extremely safe implants and complications as a result of direct insertion or migration are very rare. Complications may be life-threatening in some instances where migration results in injury to vital organs. We report one such case where antegrade migration of K-wire from the hip resulted in injury to external iliac artery and formation of an external iliac artery-appendicular fistula. No such complication due to migration has ever been reported in the literature. A 15-year-old boy presented with lower abdominal pain, right lower limb swelling and pain, inability to walk and rectal bleeding for 1 month after 2 K-wires had been inserted in his right hip joint for treatment of slipped capital femoral epiphysis the previous year. On investigation, he was diagnosed to have external iliac artery-appendicular fistula for which he was surgically treated.

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