A Case Report You Can't Make Up: A Bladder Foreign Body.

A Case Report You Can't Make Up: A Bladder Foreign Body.

Winot S; Hill AC; Simon EL

The Journal Of Emergency Medicine

2021

2021-05-08

Relative to the overall number of foreign body cases that present to hospitals each year, the urinary bladder is an uncommon location (1,2). However, it is the most common site of foreign bodies in the urogenital tract, due to its distendable nature and small orifices, which make clearance of the foreign body difficult (1,3,4). Objects may be inserted into the bladder by several means, including: the intraurethral route; migration from another organ (such as an intrauterine device from the uterus); or through a traumatic, penetrating process (such as a bullet) (1,4,5). Other reported items include electrical wire, pencils, screws, tampons, metal beads, pen caps, and kidney beans, to name a few (1, 2, 3, 4, 5, 6). Intraurethral insertion is the most common mechanism, which is usually the result of erotic self-insertion or iatrogenic placement of medical equipment, such as urinary catheters (1,4,6). However, this category also includes unwanted insertion of objects—through sexual abuse, specifically (4). Presence of a foreign body within the bladder may lead to marked lower urinary tract symptoms, such as dysuria, hematuria, increased urinary frequency and urgency, and lower abdominal and pelvic pain (1, 2, 3, 4). Additionally, it may be the cause of significant emotional distress and embarrassment for the patient, especially when seeking care in a hospital (4).

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Journal Article

0736-4679

NEOMED College of Medicine

Department of Emergency medicine

May 2021