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Int Neurourol J. 2012 Sep;16(3):153-6. doi: 10.5213/inj.2012.16.3.153. Epub 2012 Sep 30.

An Organic Intravesical Foreign Body Caused by Penetrating Trauma that was Missed during Initial Management.

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  • 1Department of Urology, Korea University Anam Hospital, Seoul, Korea.

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.

KEYWORDS:

Foreign bodies; Penetrating wounds; Urinary bladder

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