An Organic Intravesical Foreign Body Caused by Penetrating Trauma that was Missed during Initial Management.
- Author:
Hoon Ah JANG
1
;
Sung Gu KANG
;
Young Hwii KO
;
Seok Ho KANG
;
Jun CHEON
;
Je Jong KIM
;
Jeong Gu LEE
Author Information
1. Department of Urology, Korea University Anam Hospital, Seoul, Korea. jeongkl@kumc.or.kr
- Publication Type:Case Report
- Keywords:
Urinary bladder;
Foreign bodies;
Penetrating wounds
- MeSH:
Aged;
Cystectomy;
Cystoscopy;
Dysuria;
Foreign Bodies;
Hematuria;
Humans;
Korea;
Sensation;
Urinary Bladder;
Wounds, Penetrating
- From:International Neurourology Journal
2012;16(3):153-156
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of an intravesical foreign body that was incompletely removed endoscopically and that defied diagnosis with current diagnostic tools. A 65-year-old man visited Korea University Anam Hospital complaining of dysuria and a sensation of residual urine. His medical history included an intravesical foreign body caused by penetrating trauma, and he had undergone endoscopic removal of foreign bodies 1 year previously. After additional remnant intravesical foreign bodies were found, he had undergone additional endoscopic removal and his urinary symptoms subsided. After 2 years, however, he again presented to the clinic complaining of dysuria and gross hematuria. Cystoscopy and computed tomography for intravesical foreign bodies were performed, but no evidence of a remnant foreign body was found. Open exploration revealed a remnant foreign body penetrating the bladder. A partial cystectomy including the foreign body was performed. We suggest that cases of penetrating injury with a radiolucent object may warrant primary open exploration and foreign body removal owing to the inherent difficulties in diagnosis and endoscopic treatment of such objects.
