An unusual foreign body in the urinary bladder: The art of management
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Hellenic Journal of Surgery (2016) 88:4, 234-237
An Unusual Foreign Body in the Urinary Bladder: The Art of Management Syed Tausif Ahmed, Azhar Alam
Abstract Introduction: Foreign bodies in the urinary bladder have been widely reported in the medical literature and include
needles, bullets etc. However, a mobile phone charger cable in the bladder has not yet been reported. We report the case of a patient with a mobile charger cable in the urinary bladder. The patient was not able to retrieve it later because of knotting. Beyond primary management, the role of the surgeon also extends to educating such patients against repeating similar acts in the future. They should also refer the patient to a complete psychiatric evaluation and at the same time investigate the emotional background and circumstances under which the act was committed. Case Presentation: A 36-year-old male patient was admitted to our department complaining of haematuria and the
inability to void. On examination, the cable end could not be seen at the external urethral meatus. A plain X-ray of the KUB region revealed a radiopaque cable knotted within the urinary bladder. Discussion: Foreign bodies inside the urinary bladder can be classified as migratory, iatrogenic and inserted. They may present with features of bladder obstruction, irritation as well as haematuria and complications that include recurrent infections, urinary retention, fistulae and even death due to sepsis.Diagnostic modalities include X-rays and ultrasonography, as well as urography and cystoscopy in selected cases. Conclusion: A wide multitude of foreign bodies can be inserted into the urinary bladder. Such patients usually suffer
from psychiatric problems, hence a thorough psychiatric assessment is needed. Endoscopic removal is the treatment of choice with open surgical removal reserved for endoscopic failure cases. Key words: Foreign body; urinary bladder; self insertion; endoscopy; open surgery
Introduction A number of foreign bodies such as needle, a bullet, etc. have been reported in the urinary bladder.[1-3] These substances are usually small and can easily be inserted into the urinary bladder. There have been few reports of long metallic wires being introduced into the urinary bladder. Even though foreign bodies in the urinary bladder have been reported in the literature, a mobile phone charger
Syed Tausif Ahmed Senior Resident / Department of General Surgery, B.R. Singh Hospital and Centre for Medical Education and Research, Eastern Railways, Kolkata Azhar Alam Post Graduate Trainee / Department of General Surgery, B.R. Singh Hospital and Centre for Medical Education and Research, Eastern Railways, Kolkata Corresponding author: Azhar Alam Residential Address: 18 C, Smith Lane, 4th Floor, Kolkata 700013 Post Graduate Trainee / Department of General Surgery, B.R. Singh Hospital and Centre for Medical Education and Research, Eastern Railways, Kolkata Tel.: 8017306836, e mail: [email protected] Received 18 March 2016; Accepted 25 April 2016
Hellenic Journal of Surg
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