A rare cause of abdominal pain

Pacemaker migration is a rare, but important, complication of pacemaker insertion mainly documented in children. We report the case of a 60-year-old woman who was admitted with right iliac fossa pain thought to be caused by appendicitis. She was noted to have both an epicardial and endocardial pacem...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2007-07, Vol.89 (5), p.W14-16
Main Authors: Li, Kathleen S, Khwaja, Haris A, Hayat, Tayyib T, Asghar, Ayesha, Alsarakbi, Will, Kelley, Chris, Babu, Ekambaram D
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Female
Foreign-Body Migration - etiology
Humans
Middle Aged
New Online Case Reports
Pacemaker, Artificial - adverse effects
Peritoneal Cavity
Tomography, X-Ray Computed
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Summary:Pacemaker migration is a rare, but important, complication of pacemaker insertion mainly documented in children. We report the case of a 60-year-old woman who was admitted with right iliac fossa pain thought to be caused by appendicitis. She was noted to have both an epicardial and endocardial pacemaker in situ. Imaging and laparoscopy revealed migration of the epicardial pacemaker to the right iliac fossa. We describe the possible mechanisms of pacemaker migration.
ISSN:0035-8843
1478-7083
DOI:10.1308/147870807x188489