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(A) Lateral and (B) anterior/posterior X-ray showing lead migration.
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In the rectal examination, lead was touched inside the anal canal, and migration was evident on pelvic X-rays (Figure 1A,B).
Sagittal (A) and axial view (B) of CT scan imaging showing the migration of the lead in the rectum (white arrow).
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(A) Combined surgical removal of the IPG and the lead with incisure on the left lateral buttock and S3 foramen in addition to retrieving the migrated lead from the anus, (B) extrusion of the lead through the anus.
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The lead wire was dissected down to the fascia and cut sharply with scissors without being extracted through the sacral foramen to avoid contamination with fecal material at the surgical site (Figure 3A,B).