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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Main Author: Aditya Yelikar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:MGM Journal of Medical Sciences
Subjects:
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.
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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
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