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Splinters in the urine
1Cottage Hospital, Anguilla, W.I.
Insights
A nine-year-old boy experienced urinary tract infections after a perineal injury. Doctors discovered and removed wooden splinters and cloth fragments from his urinary bladder.
Area of Science:
- Pediatric Urology
- Trauma Surgery
Background:
- Penetrating injuries to the perineum can lead to complex urological complications.
- Foreign bodies in the urinary tract pose a significant risk for infection and morbidity.
Observation:
- A pediatric patient presented with recurrent urinary tract infections.
- The patient reported a history of passing foreign material in the urine.
- A nine-year-old boy sustained a penetrating perineal injury.
Findings:
- Imaging and subsequent surgical exploration revealed a foreign body within the urinary bladder.
- Splinters of wood and fragments of cloth were successfully removed via suprapubic cystotomy.
Implications:
- Highlights the importance of thorough investigation for foreign bodies after penetrating trauma.
- Underscores the potential for delayed urological complications from retained foreign material.
- Emphasizes the need for prompt surgical intervention to prevent further morbidity.
Abstract:
A nine-year-old boy sustained a penetrating injury to the perineum. He later presented with urinary tract infections and a history of passing splinters in the urine. Investigation revealed a foreign body in the urinary bladder, and at suprapubic cystotomy splinters of wood and fragments of cloth were removed.
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