[Removal of a Foreign Body in the Urinary Bladder in a Patient Four Times in the Past Thirty Years].
Sohei KuribayashiKoichi TsutaharaGaku YamamichiTakuya OkusaAyumu TaniguchiNozomu KishimotoGo TanigawaTetsuya TakaoSeiji Yamaguchi
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Abstract:
We report a case of recurring foreign bodies in the urinary bladder. A 67-year-old male inserted a foreign body into the urinary bladder during masturbation. Eight months later, he experienced a fever and went to a hospital where ultrasonography revealed a foreign body in his urinary bladder. Then, he was referred to our hospital for surgical treatment. The patient's surgical record indicated that he had undergone the same operation 3 times in the past thirty years. The inserted foreign body was successfully removed by suprapubic cystotomy, and he was discharged 13 days after the operation. He was also evaluated by psychiatrists, but they diagnosed that he had no mental disorder. To our knowledge, this is the first report on the removal of a foreign body in the urinary bladder four times in the same patient.Cite
SUMMARY The relative advantages and disadvantages of radiographic and ultrasonic studies in foreign body detection and localization are discussed. The value of ultrasonography in finding radiolucent orbital foreign bodies and its clear superiority in the localization of foreign bodies with respect to the walls of the eye is demonstrated by several examples. The information concerning the state of the lens, vitreous, and retina in such traumatized eyes which is obtained by ultrasonography represents a very important additional benefit of such study.
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Self-inflicted intravesical foreign body is a rare condition in childhood. It is more common in adult patients. Foreign bodies in the bladder can be detected for autoerotic, psychiatric, therapeutic or unclear reasons. In this case, a 6-year-old boy had treatment resistant recurrent urinary tract infection. An opaque body was detected in the pelvic location in the direct urinary system X-ray. An intravesical localized bobby pin was detected on the abdominal ultrasonography. The patient had no previous history of surgical intervention. No additional feature was detected in the physical examination of the patient. There was recurrent urinary tract infection. Infections were resistant to treatment. In the radiological imaging, a bobby pin (wire clip) located in the bladder was detected. It was visualized and removed with cystoscopy.
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Abstract Vaginal foreign bodies usually present with bleeding and foul‐smelling discharge. It is often difficult to detect and identify vaginal foreign bodies in pediatric cases without any symptoms. Therefore, detection of vaginal foreign bodies using noninvasive methods, like transabdominal ultrasonography, is important in pediatric patients.
Vaginal bleeding
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Esophageal perforations are rare but highly fatal pathologies. This study aims to discuss the treatment methods for esophageal perforations. Materials and methods: Twenty-two patients who were diagnosed with esophageal perforation in the Ondokuz Mayıs University Faculty of Medicine's thoracic surgery clinics between 2000 and 2011 were retrospectively evaluated. Results: The cause of perforation was foreign body in 17 patients, dilatation with bougie in 2, balloon dilatation in 2, and spontaneous rupture in 1. Eight patients had cervical, 12 had thoracal, and 2 had thoracoabdominal esophagus perforations. The period between perforation occurrence and treatment was longer than 24 h in 10 patients and shorter than 24 h in 12 patients. Eight patients were treated with primary repair and debridement, 5 with chest tube drainage and conservative treatment, and 1 with self-opening stent, and 1 patient underwent resection. On the other hand, 7 patients were followed with conservative therapy after the removal of the foreign body with esophagoscopy. There was 1 mortality in the surgically treated group, while there were 4 in the conservatively treated group. Conclusion: Surgery is the "gold standard" for the treatment of esophageal perforations. Conservative therapy should be applied only in selected patients under careful monitoring. The most important factor for morbidity and mortality is early diagnosis and determination of the treatment method that best suits the patient.
Perforation
Conservative Treatment
Debridement (dental)
Gold standard (test)
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Foreign Body Ingestion
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Abstract The ingestion of foreign bodies is a common problem in the pediatric population. Emergent treatment of ingested foreign bodies is dependent on the type of foreign body ingested, patient symptoms, timing of ingestion, and the location of the foreign body. Although X-ray and computed tomography are the imaging techniques used most often to assess for foreign bodies, ultrasonography, which lacks ionizing radiation, may also be useful. This case series describes 8 cases of gastrointestinal tract foreign bodies and the utility of point-of-care ultrasonography for their real-time evaluation.
Foreign Body Ingestion
Point of care
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Impaction of foreign bodies in the soft tissues is a sequela of traumatic and penetrating injuries. Such foreign bodies should be removed due to the complications they cause. Patient's history, clinical evaluation and imaging examinations aid in the proper detection and localization of the foreign bodies.The aim of the present study was to compare the sensitivity of computed tomography (CT) and ultrasonography for detecting foreign bodies in in-vitro models simulating facial soft tissues.Fifty foreign particles with five different compositions including wood, glass, metal, plastic, and stone were embedded in five calf tongues at 1, 2, 3, 4 and 5 cm depths. CT and ultrasonography were compared regarding their capability of detecting and localizing the foreign bodies.Wood and plastic foreign bodies were demonstrated more clearly on ultrasonography images. High density materials such as metal, stone, and glass were detected with almost the same accuracy on CT and ultrasonography examinations. Visibility of the foreign bodies deteriorated on ultrasonography images as their depth increased; however, CT appearances of the foreign particles were not influenced by their depths.Ultrasonography is an appropriate technique for detection of foreign bodies especially the ones with low density. Therefore, it seems logical to perform ultrasonography in combination with CT in cases with the suspicion of foreign body impaction.
Impaction
Sequela
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Foreign body in the urinary bladder is a rare urological presentation and in most cases are due to self-insertion usually for autoerotic stimulation. We presented a case of 16 years old female who presented with history recurrent urinary tract infection for 6 months. After thoroughly work up she was diagnosed to have a pen cap in her urinary bladder. The foreign body in the urinary bladder was detected by abdominal ultrasound, Kidney, Ureter and Bladder (KUB) X-ray did not detect any abnormal radiopaque material in the area of the urinary bladder or upper tract. At cystoscopy, one pen cap was identified and removed successful.
Upper urinary tract
Presentation (obstetrics)
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