{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:40:05Z","timestamp":1756370405471,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,7,8]]},"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>Hookwire migration is a rare complication of wide local excision surgery for breast neoplasia. We report the case of a 64-year-old woman who presented to hospital with acute on chronic left upper quadrant and left scapular pain. She had undergone a hookwire-guided wide local excision of a right breast neoplasm 5\u2009years previously. Her vital signs, clinical examination and blood test were unremarkable. A CT scan revealed a left-sided pneumothorax and a 20\u2009cm metallic intraperitoneal foreign body transpiercing the diaphragm. A review of the patient\u2019s clinical record revealed that she experienced a vagal collapse during hookwire implantation. This article underlines the importance of clear communication between members of a multidisciplinary team involved in a staged surgical intervention and exemplifies that foreign bodies can migrate across large distances, sometimes against gravity, to cross multiple anatomical compartments and cause iatrogenic injuries multiple years after an index intervention<\/jats:p>","DOI":"10.1136\/bcr-2021-244086","type":"journal-article","created":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T12:28:13Z","timestamp":1628166493000},"page":"e244086","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Intraperitoneal migration of a hookwire following wide local excision of a breast lesion presenting as a spontaneous pneumothorax"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9290-2703","authenticated-orcid":false,"given":"Maximilian Olavi","family":"Joret","sequence":"first","affiliation":[{"name":"Department of Surgery, Taranaki District Health Board, New Plymouth, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Falah","family":"El-Haddawi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Taranaki District Health Board, New Plymouth, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,8,5]]},"reference":[{"key":"2025082801193613000_14.8.e244086.1","doi-asserted-by":"crossref","unstructured":"Chan BKY , Wiseberg-Firtell JA , Jois RHS , et al . Localization techniques for guided surgical excision of non-palpable breast lesions. Cochrane Database of Systematic Reviews 2015;8.doi:10.1002\/14651858.CD009206.pub2","DOI":"10.1002\/14651858.CD009206.pub2"},{"key":"2025082801193613000_14.8.e244086.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0748-7983(98)92527-6"},{"key":"2025082801193613000_14.8.e244086.3","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1007\/s00270-009-9620-9","article-title":"Migration of guidewire after surgical breast biopsy: an unusual case report","volume":"32","author":"Seifi","year":"2009","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2025082801193613000_14.8.e244086.4","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1080\/00015458.2018.1523298","article-title":"Intrathoracic hooked wire migration managed by minimally invasive thoracoscopic surgery","volume":"120","author":"Bachir","year":"2020","journal-title":"Acta Chir Belg"},{"key":"2025082801193613000_14.8.e244086.5","doi-asserted-by":"publisher","DOI":"10.1080\/02841850410003085"},{"key":"2025082801193613000_14.8.e244086.6","doi-asserted-by":"publisher","DOI":"10.1148\/rg.312105123"},{"key":"2025082801193613000_14.8.e244086.7","doi-asserted-by":"crossref","unstructured":"Wojda TR , Dingley SD , Wolfe S . Foreign intravascular object embolization and migration: bullets, catheters, wires, stents, filters, and more. In: Embolic diseases - unusual therapies and challenges. InTech, 2017.","DOI":"10.5772\/68039"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:19:46Z","timestamp":1756369186000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":7,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,8,5]]},"published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1136\/bcr-2021-244086"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244086","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}