Presentation
Abdominal pain. Perforation?
Patient Data
Age: 80 years
Gender: Male
From the case:
Retained pacing wire
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AP chest
Sternotomy and CABG. Pacemaker.
Lungs clear. No pneumoperitoneum.
Abdomen
Linear high density projected over the epigastrium–looks like a wire. This is consistent with a retained pacing wire.
Normal bowel gas pattern.
From the case:
Retained pacing wire
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A prior CT demonstrates a retained pacing wire in the upper abdomen.
Case Discussion
Pacing wires on occasion get retained after cardiothoracic surgery. The main issue is with identification prior an MRI study.
They can be subtle so this is what you are looking for.
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