An organic intravesical foreign body caused by penetrating trauma that was missed during initial management

Hoon Ah Jang, Sung Gu Kang, Young Hwii Ko, Seok Ho Kang, Jun Cheon, Je Jong Kim, Jeong Gu Lee

    Research output: Contribution to journalArticlepeer-review

    1 Citation (Scopus)

    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.

    Original languageEnglish
    Pages (from-to)153-156
    Number of pages4
    JournalInternational Neurourology Journal
    Volume16
    Issue number3
    DOIs
    Publication statusPublished - 2012 Sep

    Keywords

    • Foreign bodies
    • Penetrating wounds
    • Urinary bladder

    ASJC Scopus subject areas

    • Neurology
    • Clinical Neurology
    • Urology

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