A rare case of a migrated foreign body found in and around the urinary bladder and urethra
Common causes of intravesical or intraurethral foreign bodies include iatrogenic injuries, self-insertion, sexual abuse, assault, and migration from adjacent sites. A 64-year-old man had been presented with a 1-year history of intermittent urinary dribbling, accompanied by painful urination (dysuria...
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Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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Series: | MGM Journal of Medical Sciences |
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Online Access: | https://doi.org/10.4103/mgmj.mgmj_232_24 |
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author | Aditya Yelikar |
author_facet | Aditya Yelikar |
author_sort | Aditya Yelikar |
collection | DOAJ |
description | Common causes of intravesical or intraurethral foreign bodies include iatrogenic injuries, self-insertion, sexual abuse, assault, and migration from adjacent sites. A 64-year-old man had been presented with a 1-year history of intermittent urinary dribbling, accompanied by painful urination (dysuria), occasional blood in the urine (hematuria), and lower urinary tract symptoms. Initially, we performed cystolithotripsy to free a guide wire encased in tissue. However, the wire remained lodged in the urinary bladder, prompting us to conduct a laparoscopic cystolithotomy for complete removal. It is possible that the guide wire either slipped into the femoral vein and was subsequently forgotten, later migrating to the urinary bladder, or that it was used to railroad a Foley catheter, which slipped into the bladder and was left behind. Foreign bodies in the urinary bladder are relatively common and should be considered when symptoms and test results are inconsistent. When endoscopic removal is not feasible, laparoscopic removal is an effective minimally invasive option. |
format | Article |
id | doaj-art-ae7f0c4ddbf849e7aa4b00ff15434820 |
institution | Kabale University |
issn | 2347-7946 2347-7962 |
language | English |
publishDate | 2024-12-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | MGM Journal of Medical Sciences |
spelling | doaj-art-ae7f0c4ddbf849e7aa4b00ff154348202025-01-17T10:55:34ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622024-12-0111479880010.4103/mgmj.mgmj_232_24A rare case of a migrated foreign body found in and around the urinary bladder and urethraAditya YelikarCommon causes of intravesical or intraurethral foreign bodies include iatrogenic injuries, self-insertion, sexual abuse, assault, and migration from adjacent sites. A 64-year-old man had been presented with a 1-year history of intermittent urinary dribbling, accompanied by painful urination (dysuria), occasional blood in the urine (hematuria), and lower urinary tract symptoms. Initially, we performed cystolithotripsy to free a guide wire encased in tissue. However, the wire remained lodged in the urinary bladder, prompting us to conduct a laparoscopic cystolithotomy for complete removal. It is possible that the guide wire either slipped into the femoral vein and was subsequently forgotten, later migrating to the urinary bladder, or that it was used to railroad a Foley catheter, which slipped into the bladder and was left behind. Foreign bodies in the urinary bladder are relatively common and should be considered when symptoms and test results are inconsistent. When endoscopic removal is not feasible, laparoscopic removal is an effective minimally invasive option.https://doi.org/10.4103/mgmj.mgmj_232_24foreign bodiesintermittent urinary dribblinglaparoscopyurethraurinary bladder |
spellingShingle | Aditya Yelikar A rare case of a migrated foreign body found in and around the urinary bladder and urethra MGM Journal of Medical Sciences foreign bodies intermittent urinary dribbling laparoscopy urethra urinary bladder |
title | A rare case of a migrated foreign body found in and around the urinary bladder and urethra |
title_full | A rare case of a migrated foreign body found in and around the urinary bladder and urethra |
title_fullStr | A rare case of a migrated foreign body found in and around the urinary bladder and urethra |
title_full_unstemmed | A rare case of a migrated foreign body found in and around the urinary bladder and urethra |
title_short | A rare case of a migrated foreign body found in and around the urinary bladder and urethra |
title_sort | rare case of a migrated foreign body found in and around the urinary bladder and urethra |
topic | foreign bodies intermittent urinary dribbling laparoscopy urethra urinary bladder |
url | https://doi.org/10.4103/mgmj.mgmj_232_24 |
work_keys_str_mv | AT adityayelikar ararecaseofamigratedforeignbodyfoundinandaroundtheurinarybladderandurethra AT adityayelikar rarecaseofamigratedforeignbodyfoundinandaroundtheurinarybladderandurethra |