SELF-INSERTED FOREIGN BODY IN THE URINARY BLADDER IN AN ADOLESCENT: A CASE REPORT
DOI:
https://doi.org/10.46793/PP260322027KKeywords:
foreign body, urinary bladder, cystoscopy, cystostomy, adolescentAbstract
Introduction: Foreign bodies in the urinary bladder are an uncommon urological emergency. Most cases of foreign bodies in the urethra or bladder are self-inserted, with a wide variety of objects being described. Foreign bodies in the urinary bladder are most commonly managed with cystoscopic extraction due to its safety and low complication rates. Surgical exploration is reserved for cases in which endoscopic removal is unsuccessful or carries a high risk of injury.
Case outline: We present the case of a 17-year-old adolescent who reported self-inserting foreign body like a “rubber lace” into the bladder several hours before admission. Radiography of the urogenital tract revealed no signs of a foreign body in the bladder. Ultrasonography demonstrated a well-defined intraluminal structure measuring approximately 9 mm in diameter. The patient underwent explorative cystoscopy which revealed a foreign body resembling a rubber lace, measuring 25 cm in length and more than 1 cm in thickness. Attempted endoscopic extraction was unsuccessful, therefore open cystostomy was performed. During hospitalization, the patient underwent a psychological evaluation.
Conclusion: Foreign bodies in the urinary bladder require an individualized diagnostic and therapeutic approach. While cystoscopic extraction remains the preferred first-line treatment, cystostomy represents a safe and effective alternative when endoscopic removal is not possible. Psychological evaluation is essential in identifying underlying causes and preventing recurrence.
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