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

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 in...

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Main Authors:	Jang, Hoon Ah, Kang, Sung Gu, Ko, Young Hwii, Kang, Seok Ho, Cheon, Jun, Kim, Je Jong, Lee, Jeong Gu
Format:	Online
Language:	English
Published:	Korean Continence Society 2012
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3469836/

id	pubmed-3469836
recordtype	oai_dc
spelling	pubmed-34698362012-10-23 An Organic Intravesical Foreign Body Caused by Penetrating Trauma that was Missed during Initial Management Jang, Hoon Ah Kang, Sung Gu Ko, Young Hwii Kang, Seok Ho Cheon, Jun Kim, Je Jong Lee, Jeong Gu Case Report 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. Korean Continence Society 2012-09 2012-09-30 /pmc/articles/PMC3469836/ /pubmed/23094223 http://dx.doi.org/10.5213/inj.2012.16.3.153 Text en Copyright © 2012 Korean Continence Society http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/ (http://creativecommons.org/licenses/by-nc/3.0) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Jang, Hoon Ah Kang, Sung Gu Ko, Young Hwii Kang, Seok Ho Cheon, Jun Kim, Je Jong Lee, Jeong Gu
spellingShingle	Jang, Hoon Ah Kang, Sung Gu Ko, Young Hwii Kang, Seok Ho Cheon, Jun Kim, Je Jong Lee, Jeong Gu An Organic Intravesical Foreign Body Caused by Penetrating Trauma that was Missed during Initial Management
author_facet	Jang, Hoon Ah Kang, Sung Gu Ko, Young Hwii Kang, Seok Ho Cheon, Jun Kim, Je Jong Lee, Jeong Gu
author_sort	Jang, Hoon Ah
title	An Organic Intravesical Foreign Body Caused by Penetrating Trauma that was Missed during Initial Management
title_short	An Organic Intravesical Foreign Body Caused by Penetrating Trauma that was Missed during Initial Management
title_full	An Organic Intravesical Foreign Body Caused by Penetrating Trauma that was Missed during Initial Management
title_fullStr	An Organic Intravesical Foreign Body Caused by Penetrating Trauma that was Missed during Initial Management
title_full_unstemmed	An Organic Intravesical Foreign Body Caused by Penetrating Trauma that was Missed during Initial Management
title_sort	organic intravesical foreign body caused by penetrating trauma that was missed during initial management
description	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.
publisher	Korean Continence Society
publishDate	2012
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3469836/
_version_	1611915617880768512

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

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