Unique abdominal twiddler syndrome

Abstract

Abstract Twiddler syndrome is an uncommon complication that occurs by twisting of the generator and may cause torsion, dislodgement, and injury of the leads. We report a rare case of a twiddler syndrome associated with an abdominal permanent pacemaker. Abdominal twiddler syndrome may possess a unique mechanism, which may not be seen in chest twiddler syndrome.

Keywords

• abdominal distension
• complication
• epicardial lead
• pacemaker
• twiddler syndrome