An Organic Intravesical Foreign Body Caused by Penetrating Trauma that was Missed during Initial Management
- Authors
- Jang, Hoon Ah; Kang, Sung Gu; Ko, Young Hwii; Kang, Seok Ho; Cheon, Jun; Kim, Je Jong; Lee, Jeong Gu
- Issue Date
- 9월-2012
- Publisher
- KOREAN CONTINENCE SOC
- Keywords
- Urinary bladder; Foreign bodies; Penetrating wounds
- Citation
- INTERNATIONAL NEUROUROLOGY JOURNAL, v.16, no.3, pp.153 - 156
- Indexed
- SCOPUS
KCI
- Journal Title
- INTERNATIONAL NEUROUROLOGY JOURNAL
- Volume
- 16
- Number
- 3
- Start Page
- 153
- End Page
- 156
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/107530
- DOI
- 10.5213/inj.2012.16.3.153
- ISSN
- 2093-4777
- 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.
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