Foreign body in urinary bladder: our experience and review of literature

Background: The objective of the study was to study clinical presentation, mode of insertion, and management of intravesical foreign bodies in patients treated at our hospital.Methods: This was a retrospective study conducted between January 2018 to June 2019. Six patients underwent treatment for urinary bladder foreign body at Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, Maharashtra, India. Medical records were analyzed retrospectively with regard to nature of foreign body, each patient’s clinical presentation, the mode of insertion and how the foreign was managed.Results: A total of six foreign bodies were retrieved from patients’ urinary bladders. The patients range in age from 28 to 65 years (mean age was 45 years). The Clinical presentation includes Lower urinary tract symptoms. Four patients were male and two were female. Circumstance of insertion was iatrogenic in 5 patients and self-insertion in 1 patient. Five patients were treated endoscopically (cystoscopy retrieval with or without cystolithotrity) and one patient with supra pubic cystostomy. Post-operative hospital stay was of 1 to 2 days. Mean follow up period was 3 months. Psychiatric referral and counseling were done in patients with history of self-insertion of foreign body in urinary bladder.Conclusions: Foreign body in the urinary bladder remain a challenge to the urologist. Removal of the foreign body without injury to the urinary bladder or the urethra gives good outcome.

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Unusual Foreign Body in Urinary Bladder: A Case Report

Journal of Enam Medical College ◽

10.3329/jemc.v1i1.11139 ◽

2012 ◽

Vol 1 (1) ◽

pp. 41-42

Author(s):

Deb Prosad Paul ◽

Debasish Das ◽

Kazi Sohel Iqbal

Keyword(s):

Case Report ◽

Urinary Tract ◽

Foreign Body ◽

Urinary Bladder ◽

Foreign Bodies ◽

Suprapubic Cystostomy ◽

Unusual Foreign Body ◽

Medical College ◽

History Of ◽

Mobile Charger

In the urinary tract, foreign body is most commonly found in the urinary bladder. It is commonly self-inflicted but can rarely be introduced by other person. Various types of foreign bodies have been reported, which includes infusion set, aluminum rod, gold chain, pearl, fish, pencil etc. Here we report a case of a 28-year young man who gave the history of forceful introduction of a long wire of mobile charger into the bladder by another person. It could not be removed by himself and by the local doctors. Then he was referred to Enam Medical College & Hospital and subsequently was removed by suprapubic cystostomy. DOI: http://dx.doi.org/10.3329/jemc.v1i1.11139J Enam Med Col 2011; 1(1): 41-42

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Occult Liver Abscess Following Clinically Unsuspected Ingestion of Foreign Bodies

Canadian Journal of Gastroenterology ◽

10.1155/1997/815876 ◽

1997 ◽

Vol 11 (5) ◽

pp. 445-448 ◽

Cited By ~ 27

Author(s):

Ban CH Tsui ◽

J Mossey

Keyword(s):

Foreign Body ◽

Preoperative Diagnosis ◽

Foreign Bodies ◽

Clinical Presentation ◽

Computed Tomographic ◽

Liver Abscesses ◽

Computed Tomographic Scan ◽

History Of ◽

Variable Clinical Presentation

Two uncommon cases of foreign body (a wooden clothespin and a toothpick) perforation of the gut with associated pyogenic liver abscesses are presented. These cases illustrate the difficulties of preoperative diagnosis. The lack of history of ingestion of foreign bodies, variable clinical presentation of the conditions and radiolucent natures of the foreign bodies all play a role in impeding the diagnosis preoperatively. This report emphasizes the role of ultrasound and computed tomographic scan in evaluating similar cases. Any patient with known risk factors for ingestion of foreign body should arouse suspicion and be investigated further.

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Self-Inflicted Urethrovesical Foreign Bodies in Children

Case Reports in Urology ◽

10.1155/2012/134358 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3

Author(s):

Canan Ceran ◽

Sema Uguralp

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Surgical Intervention ◽

Skin Incision ◽

Definitive Treatment ◽

Endoscopic Removal ◽

X Ray ◽

History Of ◽

Endoscopic Guidance ◽

Lower Urinary

We present two cases of self-inflicted urethrovesical foreign body in children. Case 1 was a 6-year-old girl admitted with a history of self-introduction of a pin. The X-ray revealed the pin as 3.5 cm in length and in the bladder. The foreign body was removed endoscopically. Case 2 was a 13-year-old boy with a self-introduced packing needle, 13 cm in length, partially in the urethra. The end and the tip of the needle passed through the urethra to the surrounding tissues. Foreign body removed via a little skin incision with endoscopic guidance. Foreign bodies are rarely found in the lower urinary tract of children. Definitive treatment is usually the endoscopic removal; however, sometimes surgical intervention may require.

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Scarf pin-related hijab syndrome: A new name for an unusual type of foreign body aspiration

Journal of International Medical Research ◽

10.1177/0300060517711086 ◽

2017 ◽

Vol 45 (6) ◽

pp. 2078-2084 ◽

Cited By ~ 6

Author(s):

Aram Baram ◽

Fahmi H. Kakamad ◽

Delan Ahmed Bakir

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Main Bronchus ◽

Distinct Group ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

Management Algorithm ◽

History Of ◽

Unusual Type

Background Foreign body aspiration refers to the inhalation of an object into the respiratory system and is a serious and potentially fatal event. A distinct group of patients has recently been recognized among Muslim nations. These patients include women who wear headscarves and place the safety pin in their mouth prior to securing the veils, leading to accidental foreign body aspiration. The aim of this study was to analyze the main presentation, diagnosis, treatment, and outcome of patients with scarf pin aspiration. Methods This prospective study involved patients with a history of scarf pin aspiration admitted to a single center during an 18-month period. Their main presentation, diagnosis, treatment, and outcome were analyzed. Results In total, 27 patients were included. The needle was extracted by flexible bronchoscopy in 12 (44.4%) patients, rigid bronchoscopy in 13 (48.1%), and thoracotomy in 2 (74%). One patient died during rigid bronchoscopy. All remaining 26 patients were satisfied with the postsurgical outcome at a mean follow-up of 1 week. Conclusions Scarf pin aspiration differs from other types of foreign body aspiration considering the specific population affected, and its management algorithm may thus differ from that of other foreign bodies. The left main bronchus is the most common site of pin impaction. Rigid bronchoscopy is the most commonly performed procedure for successful retrieval.

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Cystoscopy to remove an intrauterine contraceptive device embedded in the urinary bladder wall: a case report and literature review

Journal of International Medical Research ◽

10.1177/03000605211015032 ◽

2021 ◽

Vol 49 (5) ◽

pp. 030006052110150

Author(s):

Rui Qu ◽

Luo Yang ◽

Yi Dai

Keyword(s):

Urinary Bladder ◽

Lower Urinary Tract ◽

Bladder Wall ◽

Intrauterine Contraceptive Device ◽

Contraceptive Device ◽

Urinary Tract Symptoms ◽

Intrauterine Contraceptive ◽

Urinary Bladder Wall ◽

History Of ◽

Lower Urinary

Migration and embedding of an intrauterine contraceptive device (IUCD) in the urinary bladder wall is rare. We present such a case of a 30-year-old woman with complaints of persistent lower urinary tract symptoms and a history of IUCD placement 8 years earlier. The IUCD was successfully removed with cystoscopy alone. The patient recovered well and had her second baby after the surgery without complaints of new urinary symptoms.

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Unrecognized Intracerebral Glass Particle Mimicking Cavernoma: Case Report

Neurosurgery ◽

10.1227/01.neu.0000192387.03428.e1 ◽

2006 ◽

Vol 58 (1) ◽

pp. E203-E203 ◽

Cited By ~ 4

Author(s):

Servet Inci ◽

Ebru Karakoc ◽

Serap Saygi ◽

Tuncalp Ozgen

Keyword(s):

Foreign Body ◽

Head Injury ◽

Foreign Bodies ◽

Glass Particle ◽

Trauma Patients ◽

Intracranial Foreign Body ◽

History Of ◽

A Minor ◽

New Onset

Abstract OBJECTIVE AND IMPORTANCE: Although the presence of a foreign body in the cranium after a head injury is a well-known entity, cases of retained intracranial foreign bodies causing a delayed onset of neurological symptoms are rare. To our knowledge, an unrecognized intracerebral glass particle mimicking a cavernoma has not been previously reported in the literature. CLINICAL PRESENTATION: We report a unique case regarding an intracranial foreign body. A 39-year-old patient presented with new-onset epilepsy. The patient had no history of trauma. According to the magnetic resonance imaging findings and the patient's clinical course, the responsible lesion was considered to be a temporal cavernoma. INTERVENTION: During the operation, surprisingly, a glass particle was found within the temporal lobe. The glass had penetrated the cranium during a minor head injury and had remained undetected for 33 years. The patient was seizure-free without medication during 3 years of follow-up. CONCLUSION: Intracranial small foreign bodies can be difficult to diagnose, especially in patients with no history or a vague history of head trauma. Patients with long-standing retained foreign bodies may remain clinically well until complications arise. Intracranial foreign bodies may mimic other pathologies clinically and radiologically.

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“Self-inflicted ballpoint pen in a male urinary bladder and successful endoscopic management - a rare case report ”

10.21203/rs.3.rs-449329/v1 ◽

2021 ◽

Author(s):

Somanatha Sharma ◽

JVS Prakash ◽

Natarajan. V

Keyword(s):

Foreign Body ◽

Urinary Bladder ◽

Foreign Bodies ◽

Endoscopic Management ◽

Case Presentation ◽

Endoscopic Extraction ◽

Rare Case Report ◽

Ball Point ◽

Significant Injury ◽

Lower Urinary

Abstract Background: Self-inflicted foreign bodies in the urinary bladder are extremely rare sometimes posing a great challenge in the management. Most of these objects are introduced through the urethra for sexual gratification. It is very rare for foreign bodies inserted per the urethra, to reach the bladder, especially in men owing to the anatomy of the urethra.Case presentation: We report a case of the self-inflicted ball-point pen in the urinary bladder of a male patient during the COVID-19 pandemic lock-down. The uniqueness of this presentation is the patient was able to negotiate the foreign body through the normal curvatures of the urethra to reach the urinary bladder in its entirety without causing any significant injury to the lower urinary tract and its successful endoscopic extraction using nephroscope and the challenges faced during the extraction.Conclusion: This is the first reported successful endoscopic extraction of a long rigid foreign body from a male urinary bladder. A combined or open procedure is the usual approach for the removal of large bladder foreign bodies. It is now clear to us that the even long rigid bladder foreign bodies in men can be extracted successfully with endoscopy provided adequate endoscopic instruments and armamentarium are available

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Nasal foreign bodies: our experience

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20214077 ◽

2021 ◽

Author(s):

Rakesh Sharma ◽

Abhishek Malhotra

Keyword(s):

Foreign Body ◽

Nasal Cavity ◽

Foreign Bodies ◽

Nasal Discharge ◽

Microsoft Excel ◽

Nasal Bridge ◽

Jammu And Kashmir ◽

Foreign Body Removal ◽

Medical College ◽

History Of

Background: The experience of a mother of a child with a foreign body stuck in its nasal cavity can be quite panicky and horrifying. The nasal foreign bodies are one of the commonest emergencies in the department of otorhinolaryngology. The common foreign body objects that are removed from the nasal cavity includes beads, pencil butts, peas or other grains, seeds, sponge, stones, paper bits, erasers, metallic objects, crayons, batteries.Methods: An observational prospective study was performed at the department of otorhinolaryngology, government medical college, Kathua, Jammu and Kashmir. In this study we examined 120 cases of foreign body nose that had presented to us from March 2019 up to March 2020. Once detected a written consent was obtained from the patient’s attendants after duly explaining the involved risks to the child. Thereafter the foreign bodies were removed using appropriate instruments. Microsoft Excel tool were used to analyze and interpretate the data.Results: Amongst the 120 patients, there were 23 adults and 97 children under 10 years. Study included 72 males and 48 females. The 86 patients had a clear history of foreign body insertion. The 12 patients were brought to our OPD with history of a long standing unilateral nasal discharge. The 12 patients had presented with history of epistaxis. Eight patients had presented with headache and recurrent episodes of rhinorrhea. Two cases presented with symptoms of pain over the nasal bridge and swelling. In our study 86% of the patients were brought with a history of foreign body insertion and only 14% a foreign body was detected when the child had presented to the outpatient department with nasal complaints. Amongst the patients 88 of them (74%) had presented with foreign bodies in their right nostril.Conclusions: Any history of insertion of a foreign body inside the nose should be thoroughly investigated. Appropriate clinical examination and diagnostic nasal endoscopy (wherever indicated) should be done. Appropriate instrument should be selected and used for foreign body removal.

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Ear, nose and throat foreign bodies and their spectrum in rural South India

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20203563 ◽

2020 ◽

Vol 6 (9) ◽

pp. 1632

Author(s):

S. Juthika Rai ◽

B. V. Chandre Gowda ◽

Rakshita R. Kamath

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Tertiary Care ◽

Adverse Outcomes ◽

High Morbidity ◽

Rural South ◽

Early Presentation ◽

Medical College ◽

Nose And Throat

Background: Ear, nose and throat foreign bodies are among the most common emergencies presenting to Otorhinolaryngologists world over and when dealt with poorly can cause high morbidity and mortality. Our study aimed at analysis of age, gender, types of foreign bodies and various aspects of their management in rural population. Methods: An observational prospective study was conducted in MVJ Medical College and Research hospital, Hoskote which is a tertiary care teaching hospital in rural Karnataka. 224 patients complaining of foreign body in ear, nose and throat between June 2018 to December 2019 were analyzed.Results: Among 224 patients, majority were >10 years of age (57%). Most common site was ear (63.8%) followed by nose and throat. Single site foreign bodies were vast with cotton being most common object. About 67% foreign bodies were organic objects with 28%living and 72% non-living. 4% of the cases needed anesthetic augmentation for removal of which only 8 cases required general anesthesia. 60% cases were previously attempted removal cases with 2.7% cases developing sequela at follow up.Conclusions: Early presentation, timely intervention and skilled removal by otorhinolaryngologists can help prevent adverse outcomes of foreign body Ear Nose and throat.

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Sewing Needle as Foreign Body in Urethra of an Adolescent Boy

Journal of Renal and Hepatic Disorders ◽

10.15586/jrenhep.v5i2.119 ◽

2021 ◽

Vol 5 (2) ◽

pp. 17-19

Author(s):

Kashif Bangash ◽

Muhammad Naeem ◽

Hassan Mumtaz ◽

Aaliah Akhtar Hayat ◽

Mubashar Mazhar ◽

...

Keyword(s):

Urinary Incontinence ◽

Foreign Body ◽

Lower Urinary Tract ◽

Foreign Bodies ◽

Age Group ◽

Male Population ◽

Sewing Needle ◽

Uncommon Presentation ◽

Urinary Tract Symptoms ◽

Lower Urinary

Self-insertion of a foreign body in the urethra is an uncommon presentation clinically. The cases usually arise due to fulfillment of sexual desire, for recreation, play, or exploration, or the foreign body insertion may take place accidentally. We present a case of an adolescent boy with a foreign body urethra presenting to the emergency room with urinary retention, pain, and dysuria. Attending urologist suspected urethral stricture and ordered ultrasonography to investigate which turned out to be a sewing needle in his urethra. The patient was then enquired about the foreign body. He tried to self-dilate his urethra as he was experiencing lower urinary tract symptoms. The sewing needle was removed by endoscopy and he was administered with antibiotics and painkillers. The urethral foreign bodies may present with pain, dysuria, or urinary incontinence and these foreign bodies are mostly seen in the male population in the adolescent age group.

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